LAUREN PAGE BLACK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166741

License Status

ACTIVE

Business

Title

First Name

LAUREN

Middle

PAGE

Last Name

BLACK

Business Name

LAUREN PAGE BLACK MD

Original Issue Date

08/26/2023

Effective Date

08/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

08/26/2023