LAURA J LUCERO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041823

License Status

EXPIRED

Business

Title

First Name

LAURA

Middle

Last Name

LUCERO

Business Name

LAURA J LUCERO MD

Original Issue Date

06/19/2000

Effective Date

06/19/2000

Expiration Date

06/18/2004

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006