MARIO E LACOUTURE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043879

License Status

CANCELLED

Business

First Name

MARIO

Middle

Last Name

LACOUTURE

Suffix

Business Name

MARIO E LACOUTURE MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006