LAFAYETTE M TYLEE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013258

License Status

EXPIRED

Business

First Name

LAFAYETTE M

Last Name

TYLEE

Suffix

Business Name

LAFAYETTE M TYLEE MD

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006