LAMENTA S CONWAY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038243

License Status

EXPIRED

Business

Title

First Name

LAMENTA

Middle

Last Name

CONWAY

Business Name

LAMENTA S CONWAY MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006