ELIZABETH LILES LOCKERMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072152

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Middle

LILES

Last Name

LOCKERMAN

Business Name

ELIZABETH LILES LOCKERMAN MD

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

06/21/2021

City

CHICAGO

State

Zip

60623

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/24/2018