EVAN LAFE VINCENT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067265

License Status

CANCELLED

Business

Title

First Name

EVAN

Middle

LAFE

Last Name

VINCENT

Business Name

EVAN LAFE VINCENT MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/03/2015