MICHELLE ODENE LAWRENCE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047644

License Status

CANCELLED

Business

First Name

MICHELLE

Middle

ODENE

Last Name

LAWRENCE

Suffix

Business Name

MICHELLE ODENE LAWRENCE MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006