JEANNE E LANGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

JEANNE E

Last Name

LANGE

Suffix

Business Name

JEANNE E LANGE MD

Original Issue Date

06/29/1995

Effective Date

06/29/1995

Expiration Date

07/31/2002

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006