LAURA GRACE CARBONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067989

License Status

NOT RENEWED

Business

First Name

LAURA GRACE

Last Name

CARBONE

Suffix

Business Name

LAURA GRACE CARBONE MD

Original Issue Date

11/28/1983

Effective Date

11/28/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006