RALPH EDWARD LASSA II MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053984

License Status

INACTIVE

Business

First Name

RALPH EDWARD

Last Name

LASSA II

Suffix

Business Name

RALPH EDWARD LASSA II MD

Original Issue Date

12/09/1976

Effective Date

12/09/1976

Expiration Date

07/31/1987

City

SANTA ROSA

State

Zip

95403

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006