JULIA MICHELE LANGE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053663

License Status

CANCELLED

Business

Title

First Name

JULIA

Middle

MICHELE

Last Name

LANGE

Business Name

JULIA MICHELE LANGE DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

05/20/2010