LORENZO J CHILDRESS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093811

License Status

NOT RENEWED

Business

Title

First Name

LORENZO

Middle

Last Name

CHILDRESS

Business Name

LORENZO J CHILDRESS MD

Original Issue Date

07/27/1996

Effective Date

07/23/2008

Expiration Date

07/31/2011

City

VIRGINIA BEACH

State

Zip

23452

Ever Disciplined

LastModifiedDate

11/14/2011