IRENEO B LAZO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022908

License Status

EXPIRED

Business

First Name

IRENEO B

Last Name

LAZO

Suffix

Business Name

IRENEO B LAZO MD

Original Issue Date

06/27/1988

Effective Date

06/27/1988

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006