LAWRENCE DAVID ELEGANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036030807

License Status

NOT RENEWED

Business

First Name

LAWRENCE DAVID

Last Name

ELEGANT

Suffix

Business Name

LAWRENCE DAVID ELEGANT MD

Original Issue Date

08/15/1951

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017