LENS PLACIDE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125087090

License Status

ACTIVE

Business

Title

First Name

LENS

Last Name

PLACIDE

Business Name

LENS PLACIDE DO

Original Issue Date

07/01/2026

Effective Date

07/01/2026

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2026