JACK A LAURIE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064328

License Status

NOT RENEWED

Business

First Name

JACK A

Last Name

LAURIE

Suffix

Business Name

JACK A LAURIE MD

Original Issue Date

05/10/1982

Effective Date

05/10/1982

Expiration Date

07/31/1987

City

HERRIN

State

Zip

62948

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006