LAUREN JESSICA HANEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079014

License Status

EXPIRED

Business

Title

First Name

LAUREN

Middle

JESSICA

Last Name

HANEY

Business Name

LAUREN JESSICA HANEY MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Vascular Surgery Integrated

Ever Disciplined

LastModifiedDate

10/30/2024