LAURENCE ADAM GREENBAUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

LAURENCE ADAM

Last Name

GREENBAUM

Suffix

Business Name

LAURENCE ADAM GREENBAUM MD

Original Issue Date

07/25/1997

Effective Date

07/25/1997

Expiration Date

07/31/2005

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006