LAURIE ANN CHALIFOUX MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050823

License Status

CANCELLED

Business

Title

First Name

LAURIE

Middle

ANN

Last Name

CHALIFOUX

Business Name

LAURIE ANN CHALIFOUX MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006