LAUREN O PORTMAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081652

License Status

NOT RENEWED

Business

First Name

LAUREN O

Last Name

PORTMAN

Suffix

Business Name

LAUREN O PORTMAN DO

Original Issue Date

10/12/1990

Effective Date

10/12/1990

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006