LAURIANN T KELLNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104052

License Status

NOT RENEWED

Business

First Name

LAURIANN

Middle

Last Name

KELLNER

Suffix

Business Name

LAURIANN T KELLNER MD

Original Issue Date

01/22/2001

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

FORESTVILLE

State

Zip

95436

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021