NATASHA LAROSE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080311

License Status

CANCELLED

Business

Title

First Name

NATASHA

Last Name

LAROSE

Business Name

NATASHA LAROSE MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2025

City

HAZEL CREST

State

Zip

60429

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/14/2025