LAURIE J HAST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088941

License Status

NOT RENEWED

Business

First Name

LAURIE J

Last Name

HAST

Suffix

Business Name

LAURIE J HAST MD

Original Issue Date

07/12/1994

Effective Date

07/12/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006