EMILY ELIZABETH LOMBARD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051547

License Status

CANCELLED

Business

Title

First Name

EMILY

Middle

ELIZABETH

Last Name

LOMBARD

Business Name

EMILY ELIZABETH LOMBARD DO

Original Issue Date

06/21/2006

Effective Date

06/21/2006

Expiration Date

06/20/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006