LAURIE BACHRACH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054963

License Status

CANCELLED

Business

Title

First Name

LAURIE

Last Name

BACHRACH

Business Name

LAURIE BACHRACH MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

MELROSE PARK

State

Zip

60160

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

06/02/2011