LAWRENCE A SHIRLEY Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

INOPERATIVE

Business

First Name

LAWRENCE

Middle

Last Name

SHIRLEY

Business Name

LAWRENCE A SHIRLEY

Original Issue Date

03/16/2020

Effective Date

03/16/2020

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020