BERNARD E LAKEMAKER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028451

License Status

EXPIRED

Business

First Name

BERNARD E

Last Name

LAKEMAKER

Business Name

BERNARD E LAKEMAKER

Original Issue Date

05/29/1992

Effective Date

05/29/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006