LISA D BARENSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

LISA D

Last Name

BARENSE

Suffix

Business Name

LISA D BARENSE MD

Original Issue Date

06/02/1986

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017