LAURA HAGEN DEAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056885

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

HAGEN

Last Name

DEAN

Business Name

LAURA HAGEN DEAN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/29/2009