PRIMO N LARA JR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030155

License Status

EXPIRED

Business

First Name

PRIMO

Middle

Last Name

LARA JR

Business Name

PRIMO N LARA JR

Original Issue Date

06/07/1993

Effective Date

06/07/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006