CHARLES LAWRENCE LAHAM MD - Medical Doctor License in Wisconsin | # 036144335

CHARLES LAWRENCE LAHAM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144335

License Status

NOT RENEWED

Business

N

Title

MD

First Name

CHARLES

Middle

LAWRENCE

Last Name

LAHAM

Business Name

CHARLES LAWRENCE LAHAM MD

Original Issue Date

09/15/2017

Effective Date

09/15/2017

Expiration Date

09/30/2020

State

WI

Ever Disciplined

N

LastModifiedDate

01/14/2021