HERBERT PERRY LASH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038545

License Status

INACTIVE

Business

First Name

HERBERT PERRY

Last Name

LASH

Suffix

Business Name

HERBERT PERRY LASH MD

Original Issue Date

09/04/1963

Effective Date

09/04/1963

Expiration Date

07/31/2005

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006