DOMINIQUE M LASH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040526

License Status

EXPIRED

Business

First Name

DOMINIQUE

Middle

Last Name

LASH

Business Name

DOMINIQUE M LASH

Original Issue Date

01/03/2000

Effective Date

01/03/2000

Expiration Date

01/22/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006