ELLEN ANN LORANGE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129633

License Status

NOT RENEWED

Business

Title

First Name

ELLEN

Middle

ANN

Last Name

LORANGE

Business Name

ELLEN ANN LORANGE DO

Original Issue Date

02/16/2012

Effective Date

02/16/2012

Expiration Date

07/31/2014

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014