KIA LASHAUN CARTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130873

License Status

NOT RENEWED

Business

Title

First Name

KIA

Middle

LASHAUN

Last Name

CARTER

Business Name

KIA LASHAUN CARTER MD

Original Issue Date

07/17/2012

Effective Date

07/11/2014

Expiration Date

07/31/2017

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017