LAURA ANNE PENCE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058316

License Status

EXPIRED

Business

Title

First Name

LAURA

Middle

ANNE

Last Name

PENCE

Business Name

LAURA ANNE PENCE MD

Original Issue Date

06/11/2010

Effective Date

06/11/2010

Expiration Date

06/10/2013

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/03/2013