LAURA LYNN COULTRIP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066549

License Status

NOT RENEWED

Business

First Name

LAURA LYNN

Last Name

COULTRIP

Suffix

Business Name

LAURA LYNN COULTRIP MD

Original Issue Date

05/18/1983

Effective Date

05/18/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006