LAURA ELIZABETH MORENO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057636

License Status

EXPIRED

Business

Title

First Name

LAURA

Middle

ELIZABETH

Last Name

MORENO

Business Name

LAURA ELIZABETH MORENO MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/19/2011