DOMINIQUE M LASH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110742

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

LASH

Business Name

DOMINIQUE M LASH

Original Issue Date

01/28/2004

Effective Date

06/04/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011