NAOMI T LAVENTHAL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045721

License Status

CANCELLED

Business

First Name

NAOMI

Middle

Last Name

LAVENTHAL

Business Name

NAOMI T LAVENTHAL

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006