MONA MONTAGNE LAZAR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048162

License Status

EXPIRED

Business

Title

First Name

MONA

Middle

MONTAGNE

Last Name

LAZAR

Business Name

MONA MONTAGNE LAZAR DO

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007