ANN MILLER LAWRENCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037645

License Status

NOT RENEWED

Business

First Name

ANN

Middle

MILLER

Last Name

LAWRENCE

Suffix

Business Name

ANN MILLER LAWRENCE MD

Original Issue Date

01/01/1962

Effective Date

04/27/2011

Expiration Date

07/31/2014

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014