ALEJANDRO LAZARO MARTINEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050439

License Status

CANCELLED

Business

First Name

ALEJANDRO

Middle

LAZARO

Last Name

MARTINEZ

Suffix

Business Name

ALEJANDRO LAZARO MARTINEZ MD

Original Issue Date

07/07/2005

Effective Date

07/07/2005

Expiration Date

07/06/2008

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006