LAURA BARE JOHNSRUDE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094501

License Status

INACTIVE

Business

First Name

LAURA BARE

Last Name

JOHNSRUDE

Suffix

Business Name

LAURA BARE JOHNSRUDE MD

Original Issue Date

11/08/1996

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PROSPECT

State

Zip

40059

County

KENTUCKY

Ever Disciplined

LastModifiedDate

04/17/2008