ELIZABETH CLARA AUGUSTINE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076416

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

CLARA

Last Name

AUGUSTINE

Business Name

ELIZABETH CLARA AUGUSTINE MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/06/2024