LAURA HAGEN DEAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130317

License Status

NOT RENEWED

Business

Title

First Name

LAURA

Middle

HAGEN

Last Name

DEAN

Business Name

LAURA HAGEN DEAN MD

Original Issue Date

05/10/2012

Effective Date

05/10/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014