LAUREN ELISE EICKELBERG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078686

License Status

CANCELLED

Business

Title

First Name

LAUREN

Middle

ELISE

Last Name

EICKELBERG

Business Name

LAUREN ELISE EICKELBERG DO

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/07/2021