LAWRENCE T VERFURTH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028298

License Status

EXPIRED

Business

First Name

LAWRENCE T

Last Name

VERFURTH

Business Name

LAWRENCE T VERFURTH

Original Issue Date

05/22/1992

Effective Date

05/22/1992

Expiration Date

06/21/1995

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006