LAURA ELIZABETH LAURSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061821

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

ELIZABETH

Last Name

LAURSEN

Business Name

LAURA ELIZABETH LAURSEN MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/31/2015