OSVALDO ENRIQUE LASTRES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032649

License Status

INACTIVE

Business

First Name

OSVALDO ENRIQUE

Last Name

LASTRES

Suffix

Business Name

OSVALDO ENRIQUE LASTRES MD

Original Issue Date

03/16/1954

Effective Date

03/16/1954

Expiration Date

07/31/1987

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006