LAWRENCE H ITELD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038251

License Status

CANCELLED

Business

First Name

LAWRENCE

Middle

Last Name

ITELD

Business Name

LAWRENCE H ITELD

Original Issue Date

06/04/1998

Effective Date

06/04/1998

Expiration Date

06/23/2004

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006