LAWRENCE SAMUEL FEIGENBAUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063563

License Status

EXPIRED

Business

Title

First Name

LAWRENCE

Middle

SAMUEL

Last Name

FEIGENBAUM

Business Name

LAWRENCE SAMUEL FEIGENBAUM MD

Original Issue Date

06/10/2013

Effective Date

06/10/2013

Expiration Date

06/09/2014

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

03/13/2015