LARYSSA R DRAGAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036172

License Status

EXPIRED

Business

First Name

LARYSSA

Middle

Last Name

DRAGAN

Business Name

LARYSSA R DRAGAN

Original Issue Date

05/20/1997

Effective Date

05/20/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2017