MARC ANTONIO LAZZARO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049341

License Status

EXPIRED

Business

First Name

MARC

Middle

ANTONIO

Last Name

LAZZARO

Suffix

Business Name

MARC ANTONIO LAZZARO MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Vascular Neurology

Ever Disciplined

LastModifiedDate

07/08/2010