JOE L LARA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079692

License Status

NOT RENEWED

Business

First Name

JOE

Middle

Last Name

LARA

Suffix

JR MD

Business Name

JOE L LARA JR MD

Original Issue Date

01/27/1990

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011