LAURA AGNES NIIRO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059611

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

AGNES

Last Name

NIIRO

Business Name

LAURA AGNES NIIRO MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CICERO

State

Zip

60804

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014