LAURA D BAGLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064914

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

Last Name

BAGLEY

Business Name

LAURA D BAGLEY MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/03/2014