ELIZABETH LEWIS NIEMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000539

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

LEWIS

Last Name

NIEMAN

Business Name

ELIZABETH LEWIS NIEMAN MD

Original Issue Date

10/15/2018

Effective Date

10/15/2018

Expiration Date

04/14/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/18/2019