LENA VIRASCH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064925

License Status

EXPIRED

Business

Title

First Name

LENA

Last Name

VIRASCH

Business Name

LENA VIRASCH DO

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

08/30/2017

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/01/2017