LAURA GRACE CARBONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

LAURA GRACE

Last Name

CARBONE

Suffix

Business Name

LAURA GRACE CARBONE MD

Original Issue Date

02/21/1984

Effective Date

02/21/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006