LAUREN MARIE KOFOD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

LAUREN

Middle

MARIE

Last Name

KOFOD

Business Name

LAUREN MARIE KOFOD

Original Issue Date

06/24/2011

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023