LAURIN ASHLEY BELLG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102935

License Status

NOT RENEWED

Business

First Name

LAURIN

Middle

ASHLEY

Last Name

BELLG

Suffix

Business Name

LAURIN ASHLEY BELLG MD

Original Issue Date

07/06/2000

Effective Date

07/06/2000

Expiration Date

07/31/2005

City

APPLETON

State

Zip

54915

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006