LAURA C JORGENSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078907

License Status

EXPIRED

Business

Title

First Name

LAURA

Middle

Last Name

JORGENSON

Business Name

LAURA C JORGENSON MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/11/2022