EBONY LATRICE LAWSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061932

License Status

CANCELLED

Business

Title

First Name

EBONY

Middle

LATRICE

Last Name

LAWSON

Business Name

EBONY LATRICE LAWSON MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60617

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014