JENNIFER MARIE LAVIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056137

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

MARIE

Last Name

LAVIN

Business Name

JENNIFER MARIE LAVIN MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

03/13/2015