LAWRENCE MARK KNAB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056850

License Status

CANCELLED

Business

Title

First Name

LAWRENCE

Middle

MARK

Last Name

KNAB

Business Name

LAWRENCE MARK KNAB MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2014

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/14/2012