LEE E BERENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

LEE E

Last Name

BERENS

Suffix

Business Name

LEE E BERENS MD

Original Issue Date

03/14/1989

Effective Date

03/14/1989

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006