SEGUNDINA C LAZO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057835

License Status

NOT RENEWED

Business

First Name

SEGUNDINA C

Last Name

LAZO

Suffix

Business Name

SEGUNDINA C LAZO MD

Original Issue Date

09/15/1978

Effective Date

09/15/1978

Expiration Date

07/31/1996

City

CENTRALIA

State

Zip

62801

County

CLINTON

Ever Disciplined

LastModifiedDate

09/20/2006