IRA D LAWRENCE JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063703

License Status

ACTIVE

Business

First Name

IRA D

Last Name

LAWRENCE JR

Suffix

Business Name

IRA D LAWRENCE JR MD

Original Issue Date

01/05/1982

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

Ever Disciplined

LastModifiedDate

05/18/2023