ELIZA BACKLUND LEWINE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074816

License Status

EXPIRED

Business

Title

First Name

ELIZA

Middle

BACKLUND

Last Name

LEWINE

Business Name

ELIZA BACKLUND LEWINE MD

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

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022