LAURA LYNN COULTRIP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

LAURA LYNN

Last Name

COULTRIP

Suffix

Business Name

LAURA LYNN COULTRIP MD

Original Issue Date

08/10/1983

Effective Date

08/10/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006