LAUREN AMBER CASTLEBERRY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053153

License Status

CANCELLED

Business

Title

First Name

LAUREN

Middle

AMBER

Last Name

CASTLEBERRY

Business Name

LAUREN AMBER CASTLEBERRY MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

05/29/2007