IRENEO B LAZO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082173

License Status

NOT RENEWED

Business

First Name

IRENEO B

Last Name

LAZO

Suffix

Business Name

IRENEO B LAZO MD

Original Issue Date

03/12/1991

Effective Date

03/12/1991

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006