LAURA ANNE CLARKE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052672

License Status

CANCELLED

Business

First Name

LAURA

Middle

ANNE

Last Name

CLARKE

Suffix

Business Name

LAURA ANNE CLARKE MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/23/2007