GUILLERMO LARA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037687

License Status

INACTIVE

Business

First Name

GUILLERMO

Last Name

LARA

Suffix

Business Name

GUILLERMO LARA MD

Original Issue Date

03/14/1962

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

04/12/2017