LAURA ELLEN FREILICH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049177

License Status

CANCELLED

Business

First Name

LAURA

Middle

ELLEN

Last Name

FREILICH

Suffix

Business Name

LAURA ELLEN FREILICH MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006