FRANK W DELAURENTIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

FRANK

Middle

Last Name

DELAURENTIS

Business Name

FRANK W DELAURENTIS

Original Issue Date

12/20/1999

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017