LAURIE H MALLERY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017934

License Status

EXPIRED

Business

First Name

LAURIE H

Last Name

MALLERY

Suffix

Business Name

LAURIE H MALLERY MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

06/24/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006