LARA ELIZABETH BELENA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000516

License Status

EXPIRED

Business

First Name

LARA

Middle

ELIZABETH

Last Name

BELENA

Suffix

Business Name

LARA ELIZABETH BELENA MD

Original Issue Date

04/09/2001

Effective Date

04/09/2001

Expiration Date

05/08/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Endocrinology

Ever Disciplined

LastModifiedDate

09/25/2006