JENNIFER LAUREN LAPRISE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071277

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

LAUREN

Last Name

LAPRISE

Business Name

JENNIFER LAUREN LAPRISE MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/07/2018