GRACE BERRY LASHORE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137778

License Status

ACTIVE

Business

Title

First Name

GRACE

Middle

BERRY

Last Name

LASHORE

Business Name

GRACE BERRY LASHORE MD

Original Issue Date

04/14/2015

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

06/27/2023