LAURIE JANE EISENGART MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048946

License Status

CANCELLED

Business

First Name

LAURIE

Middle

JANE

Last Name

EISENGART

Suffix

Business Name

LAURIE JANE EISENGART MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

ARLINGTON HEIGHTS

State

Zip

60004

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006