LAURA ELIZABETH BACH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

LAURA

Middle

ELIZABETH

Last Name

BACH

Business Name

LAURA ELIZABETH BACH DO

Original Issue Date

10/13/2017

Effective Date

10/13/2017

Expiration Date

09/30/2020

City

LAKE VILLA

State

Zip

60046

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021