LAWRENCE DWAYNE COUNTS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042145

License Status

EXPIRED

Business

First Name

LAWRENCE

Middle

DWAYNE

Last Name

COUNTS

Suffix

Business Name

LAWRENCE DWAYNE COUNTS MD

Original Issue Date

08/16/2000

Effective Date

08/16/2000

Expiration Date

08/15/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Nephrology

Ever Disciplined

LastModifiedDate

09/22/2006