LAURA CHRISTIAN MICHAELIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109466

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

CHRISTIAN

Last Name

MICHAELIS

Suffix

Business Name

LAURA CHRISTIAN MICHAELIS MD

Original Issue Date

06/18/2003

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014