LAURA L WALLY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106292

License Status

ACTIVE

Business

First Name

LAURA

Middle

Last Name

WALLY

Business Name

LAURA L WALLY

Original Issue Date

02/15/2002

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2023