LAUREL J LYCKHOLM
Licensed Physician Controlled Substance (Schedules Ii Iii Iin Iiin Iv V )
Illinois 336053103 Not Renewed
This Illinois license was held by LAUREL J LYCKHOLM. The license is no longer active. It was granted on 09/06/1995 and expired on 07/31/1996
LICENSE DETAILS
- License Number: 336053103
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE (Schedules II III IIN IIIN IV V )
- Status: Not Renewed
- Date Granted: 09/06/1995 (almost 29 years ago)
- Expiry Date: 07/31/1996 (almost 28 years ago)
LOCATIONS
A Address
RICHMOND, VA 23223