HENRY LAVERNIA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016422

License Status

EXPIRED

Business

First Name

HENRY

Last Name

LAVERNIA

Business Name

HENRY LAVERNIA

Original Issue Date

10/12/1983

Effective Date

10/12/1983

Expiration Date

10/06/1985

City

CHICAG

State

Zip

60660

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006