LAURA ELIZABETH BACH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066428

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

ELIZABETH

Last Name

BACH

Business Name

LAURA ELIZABETH BACH DO

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

06/24/2018

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/16/2015