DANIELLE MARIE LAVIGNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082963

License Status

ACTIVE

Business

Title

First Name

DANIELLE

Middle

MARIE

Last Name

LAVIGNE

Business Name

DANIELLE MARIE LAVIGNE MD

Original Issue Date

06/27/2023

Effective Date

06/27/2023

Expiration Date

06/26/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/27/2023