LAUREN LANDERHOLM MILLER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072185

License Status

CANCELLED

Business

Title

First Name

LAUREN

Middle

LANDERHOLM

Last Name

MILLER

Business Name

LAUREN LANDERHOLM MILLER DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/18/2018