MICHAEL DAVID LIFSON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

DAVID

Last Name

LIFSON

Business Name

MICHAEL DAVID LIFSON DO

Original Issue Date

09/14/2021

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023