DAVID REDFORD LILJENQUIST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

REDFORD

Last Name

LILJENQUIST

Suffix

Business Name

DAVID REDFORD LILJENQUIST MD

Original Issue Date

03/28/2003

Effective Date

03/28/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006