LAMENTA S CONWAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105633

License Status

ACTIVE

Business

Title

First Name

LAMENTA

Middle

Last Name

CONWAY

Business Name

LAMENTA S CONWAY MD

Original Issue Date

09/25/2001

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2023