LEIF BOGE SORENSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

CANCELLED

Business

First Name

LEIF BOGE

Last Name

SORENSEN

Suffix

Business Name

LEIF BOGE SORENSEN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006