LAURA LOUISE BELLAIRE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

LAURA

Middle

LOUISE

Last Name

BELLAIRE

Business Name

LAURA LOUISE BELLAIRE MD

Original Issue Date

12/22/2022

Effective Date

12/22/2022

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023