LEOLA CAROLYN LORENZEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042946

License Status

NOT RENEWED

Business

First Name

LEOLA CAROLYN

Last Name

LORENZEN

Suffix

Business Name

LEOLA CAROLYN LORENZEN MD

Original Issue Date

09/26/1969

Effective Date

09/26/1969

City

PORTLAND

State

Zip

97214

County

OREGON

Ever Disciplined

LastModifiedDate

09/20/2006