LARA KOSTUN REICHERT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073478

License Status

EXPIRED

Business

Title

First Name

LARA

Middle

KOSTUN

Last Name

REICHERT

Business Name

LARA KOSTUN REICHERT MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Otolaryngology

Ever Disciplined

LastModifiedDate

11/19/2020