STEVEN LAWRENCE SMALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

LAWRENCE

Last Name

SMALL

Suffix

Business Name

STEVEN LAWRENCE SMALL MD

Original Issue Date

06/24/1999

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017