LAUREN DENISE BARTHOLOMEW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069712

License Status

EXPIRED

Business

Title

First Name

LAUREN

Middle

DENISE

Last Name

BARTHOLOMEW

Business Name

LAUREN DENISE BARTHOLOMEW MD

Original Issue Date

08/22/2016

Effective Date

08/22/2016

Expiration Date

08/21/2019

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/13/2020