PETER EIDE LORENS MD - Medical Doctor License in Illinois | # 125070947

PETER EIDE LORENS MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070947

License Status

EXPIRED

Business

N

Title

MD

First Name

PETER

Middle

EIDE

Last Name

LORENS

Business Name

PETER EIDE LORENS MD

Original Issue Date

06/27/2017

Effective Date

06/27/2017

Expiration Date

06/26/2018

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

10/25/2018