LAURA LEE LOESEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113362

License Status

NOT RENEWED

Business

Title

First Name

LAURA

Middle

LEE

Last Name

LOESEL

Business Name

LAURA LEE LOESEL MD

Original Issue Date

03/29/2005

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017