LAURA JEAN MCGOVERN D.O. Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054353

License Status

CANCELLED

Business

Title

D.O.

First Name

LAURA

Middle

JEAN

Last Name

MCGOVERN

Business Name

LAURA JEAN MCGOVERN D.O.

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

07/31/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/28/2011