LAUREN ELYCE WILLIAMS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070694

License Status

CANCELLED

Business

Title

First Name

LAUREN

Middle

ELYCE

Last Name

WILLIAMS

Business Name

LAUREN ELYCE WILLIAMS MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/27/2020