LAWRENCE H ITELD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108014

License Status

ACTIVE

Business

First Name

LAWRENCE

Middle

Last Name

ITELD

Business Name

LAWRENCE H ITELD

Original Issue Date

10/15/2002

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

06/17/2023