GERALD LASIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038061

License Status

NOT RENEWED

Business

First Name

GERALD

Last Name

LASIN

Suffix

Business Name

GERALD LASIN MD

Original Issue Date

09/19/1962

Effective Date

05/15/2017

Expiration Date

09/30/2020

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021