LAUREN LOUISE FORE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063989

License Status

CANCELLED

Business

Title

First Name

LAUREN

Middle

LOUISE

Last Name

FORE

Business Name

LAUREN LOUISE FORE MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

MONTICELLO

State

Zip

61856

County

PIATT

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014