CARLOS LARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036334

License Status

NOT RENEWED

Business

First Name

CARLOS

Last Name

LARA

Suffix

Business Name

CARLOS LARA MD

Original Issue Date

12/02/1959

Effective Date

05/28/2014

Expiration Date

07/31/2017

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

11/01/2017