LAURIE H MALLERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075198

License Status

NOT RENEWED

Business

First Name

LAURIE H

Last Name

MALLERY

Suffix

Business Name

LAURIE H MALLERY MD

Original Issue Date

06/22/1987

Effective Date

06/22/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006