ELISA A LAURENT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

ELISA

Middle

Last Name

LAURENT

Business Name

ELISA A LAURENT MD

Original Issue Date

07/29/2003

Effective Date

07/29/2003

Expiration Date

07/31/2008

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020