LAWRENCE ALFRED DE RENNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

LAWRENCE ALFRED

Last Name

DE RENNE

Suffix

Business Name

LAWRENCE ALFRED DE RENNE MD

Original Issue Date

08/12/1991

Effective Date

08/12/1991

Expiration Date

07/31/1999

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006