LAURA THOMASON DICKENS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062673

License Status

CANCELLED

Business

First Name

LAURA

Middle

THOMASON

Last Name

DICKENS

Suffix

Business Name

LAURA THOMASON DICKENS MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014