STEVEN ROBERT LAFAYETTE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042643

License Status

EXPIRED

Business

First Name

STEVEN

Middle

ROBERT

Last Name

LAFAYETTE

Suffix

Business Name

STEVEN ROBERT LAFAYETTE MD

Original Issue Date

06/25/2001

Effective Date

06/25/2001

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006