ELI LAVIE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021160

License Status

EXPIRED

Business

First Name

ELI

Last Name

LAVIE

Business Name

ELI LAVIE

Original Issue Date

06/06/1987

Effective Date

06/06/1987

Expiration Date

04/27/1990

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006