EDEN LOUISE PAPPO LAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143392

License Status

ACTIVE

Business

Title

First Name

EDEN

Middle

LOUISE PAPPO

Last Name

LAKE

Business Name

EDEN LOUISE PAPPO LAKE MD

Original Issue Date

06/06/2017

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023