FRANK T LASALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014860

License Status

EXPIRED

Business

First Name

FRANK T

Last Name

LASALA

Suffix

Business Name

FRANK T LASALA MD

Original Issue Date

07/28/1982

Effective Date

07/28/1982

Expiration Date

07/01/1984

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006