LAUREN MARIE KOFOD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127764

License Status

ACTIVE

Business

First Name

LAUREN

Middle

MARIE

Last Name

KOFOD

Business Name

LAUREN MARIE KOFOD

Original Issue Date

05/03/2011

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

Ever Disciplined

LastModifiedDate

04/18/2023