LAURA BARE JOHNSRUDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

LAURA BARE

Last Name

JOHNSRUDE

Suffix

Business Name

LAURA BARE JOHNSRUDE MD

Original Issue Date

12/03/1996

Effective Date

12/03/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006