PETER TYLER LAPEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066778

License Status

EXPIRED

Business

Title

First Name

PETER

Middle

TYLER

Last Name

LAPEN

Business Name

PETER TYLER LAPEN DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

10/25/2018