LEWANZER LASSITER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055740

License Status

NOT RENEWED

Business

First Name

LEWANZER

Last Name

LASSITER

Suffix

Business Name

LEWANZER LASSITER MD

Original Issue Date

09/23/1977

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017