LAWRENCE J GOTTLIEB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

LAWRENCE J

Last Name

GOTTLIEB

Suffix

Business Name

LAWRENCE J GOTTLIEB MD

Original Issue Date

08/08/1984

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023