LAURA LEWALLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152563

License Status

ACTIVE

Business

Title

First Name

LAURA

Last Name

LEWALLEN

Business Name

LAURA LEWALLEN MD

Original Issue Date

04/14/2020

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2023