LAMENTA S CONWAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

LAMENTA

Middle

Last Name

CONWAY

Business Name

LAMENTA S CONWAY MD

Original Issue Date

09/16/2002

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

FLOSSMOOR

State

Zip

60422

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023