THOMAS J LASALLE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081054

License Status

NOT RENEWED

Business

First Name

THOMAS J

Last Name

LASALLE

Suffix

Business Name

THOMAS J LASALLE DO

Original Issue Date

07/18/1990

Effective Date

07/18/1990

Expiration Date

07/31/1993

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2008