LAURA D BAGLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143701

License Status

NOT RENEWED

Business

Title

First Name

LAURA

Middle

Last Name

BAGLEY

Business Name

LAURA D BAGLEY MD

Original Issue Date

06/28/2017

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021