MATTHEW DENNIS LAZZARA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053316

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

DENNIS

Last Name

LAZZARA

Suffix

Business Name

MATTHEW DENNIS LAZZARA MD

Original Issue Date

06/15/2007

Effective Date

06/15/2007

Expiration Date

06/14/2008

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

06/26/2008