STACY M LAURENT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136436

License Status

ACTIVE

Business

Title

First Name

STACY

Middle

Last Name

LAURENT

Business Name

STACY M LAURENT DO

Original Issue Date

09/08/2014

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

06/01/2023