LAWRENCE D FRENKEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

CANCELLED

Business

First Name

LAWRENCE D

Last Name

FRENKEL

Suffix

Business Name

LAWRENCE D FRENKEL MD

Original Issue Date

09/06/1996

Effective Date

09/06/1996

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006