LAURIE J HAST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022843

License Status

EXPIRED

Business

First Name

LAURIE J

Last Name

HAST

Suffix

Business Name

LAURIE J HAST MD

Original Issue Date

06/21/1988

Effective Date

06/21/1988

Expiration Date

06/24/1994

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006