LAURA J SIEMS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032815

License Status

EXPIRED

Business

First Name

LAURA

Middle

Last Name

SIEMS

Business Name

LAURA J SIEMS

Original Issue Date

05/30/1995

Effective Date

05/30/1995

Expiration Date

06/25/1998

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006