RENEE DIANE LASS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112628

License Status

NOT RENEWED

Business

First Name

RENEE

Middle

DIANE

Last Name

LASS

Suffix

Business Name

RENEE DIANE LASS DO

Original Issue Date

11/09/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

11/06/2008