KATIE JO LASOTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045587

License Status

EXPIRED

Business

First Name

KATIE

Middle

Last Name

LASOTA

Suffix

Business Name

KATIE JO LASOTA MD

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

06/15/2004

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006