LAURENS F JOHANSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079309

License Status

NOT RENEWED

Business

First Name

LAURENS

Middle

Last Name

JOHANSEN

Suffix

Business Name

LAURENS F JOHANSEN MD

Original Issue Date

08/08/1989

Effective Date

08/08/1989

Expiration Date

07/31/1990

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/26/2009