LAWRENCE THOMAS MOLLO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061609

License Status

CANCELLED

Business

Title

First Name

LAWRENCE

Middle

THOMAS

Last Name

MOLLO

Business Name

LAWRENCE THOMAS MOLLO MD

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014