MARILYN M LACROSSE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119800

License Status

ACTIVE

Business

First Name

MARILYN

Middle

Last Name

LACROSSE

Business Name

MARILYN M LACROSSE

Original Issue Date

12/10/2007

Effective Date

06/11/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

03/28/2024