MELISSA ANN LAZAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130471

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

ANN

Last Name

LAZAR

Business Name

MELISSA ANN LAZAR MD

Original Issue Date

06/04/2012

Effective Date

06/04/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014