LAWRENCE ALFRED DE RENNE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082614

License Status

INACTIVE

Business

First Name

LAWRENCE ALFRED

Last Name

DE RENNE

Suffix

Business Name

LAWRENCE ALFRED DE RENNE MD

Original Issue Date

06/14/1991

Effective Date

06/14/1991

Expiration Date

07/31/1999

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

12/26/2013