LAUREN ELIZABETH SPLITTGERBER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066107

License Status

CANCELLED

Business

Title

First Name

LAUREN

Middle

ELIZABETH

Last Name

SPLITTGERBER

Business Name

LAUREN ELIZABETH SPLITTGERBER MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Sports Medicine (PM&R)

Ever Disciplined

LastModifiedDate

05/29/2018