LAUREN O PORTMAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022491

License Status

EXPIRED

Business

First Name

LAUREN O

Last Name

PORTMAN

Suffix

Business Name

LAUREN O PORTMAN DO

Original Issue Date

05/24/1988

Effective Date

05/24/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006