ANDREW THOMAS LAWRENCE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

ANDREW

Middle

THOMAS

Last Name

LAWRENCE

Suffix

Business Name

ANDREW THOMAS LAWRENCE MD

Original Issue Date

04/11/2003

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023