LAWRENCE EDWARD TABONE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052650

License Status

CANCELLED

Business

First Name

LAWRENCE

Middle

EDWARD

Last Name

TABONE

Suffix

Business Name

LAWRENCE EDWARD TABONE MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/13/2010