LAUREN MICHELE THIESFELD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074048

License Status

EXPIRED

Business

Title

First Name

LAUREN

Middle

MICHELE

Last Name

THIESFELD

Business Name

LAUREN MICHELE THIESFELD DO

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

06/21/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022