CIARA MARINA LOCKSTADT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077230

License Status

EXPIRED

Business

Title

First Name

CIARA

Middle

MARINA

Last Name

LOCKSTADT

Business Name

CIARA MARINA LOCKSTADT MD

Original Issue Date

04/22/2022

Effective Date

04/22/2022

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024