EILEEN PATRICE LAURENCE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054682

License Status

ACTIVE

Business

First Name

EILEEN PATRICE

Last Name

LAURENCE

Suffix

Business Name

EILEEN PATRICE LAURENCE MD

Original Issue Date

06/09/1977

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

MUNDELEIN

State

Zip

60060

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2023