MARYBETH LORE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023762

License Status

EXPIRED

Business

First Name

MARYBETH

Last Name

LORE

Business Name

MARYBETH LORE

Original Issue Date

05/11/1989

Effective Date

05/11/1989

Expiration Date

07/01/1992

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006