TIMOTHY BERNARD LAUTZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050673

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

BERNARD

Last Name

LAUTZ

Suffix

Business Name

TIMOTHY BERNARD LAUTZ MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006