BIENVENIDO M LAZATIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014847

License Status

EXPIRED

Business

First Name

BIENVENIDO

Middle

Last Name

LAZATIN

Business Name

BIENVENIDO M LAZATIN

Original Issue Date

07/28/1982

Effective Date

07/28/1982

Expiration Date

06/28/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006