LAURIN ASHLEY BELLG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

LAURIN

Middle

ASHLEY

Last Name

BELLG

Suffix

Business Name

LAURIN ASHLEY BELLG MD

Original Issue Date

07/18/2000

Effective Date

07/18/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006