MATTHEW DENNIS LAZZARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128166

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

DENNIS

Last Name

LAZZARA

Suffix

Business Name

MATTHEW DENNIS LAZZARA MD

Original Issue Date

06/22/2011

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014