PETER EIDE LORENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070947

License Status

EXPIRED

Business

Title

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

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018