ANN MARIE LAAKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

ANN

Middle

MARIE

Last Name

LAAKE

Business Name

ANN MARIE LAAKE MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

07/31/2017

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020