LAURA C DANIELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040502

License Status

CANCELLED

Business

First Name

LAURA

Middle

Last Name

DANIELL

Suffix

Business Name

LAURA C DANIELL MD

Original Issue Date

09/17/1999

Effective Date

09/17/1999

Expiration Date

09/16/2002

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006