ELIZABETH PAIGE LASSEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053346

License Status

CANCELLED

Business

First Name

ELIZABETH

Middle

PAIGE

Last Name

LASSEN

Suffix

Business Name

ELIZABETH PAIGE LASSEN DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/18/2007