LAZARO R DIAZ NUNEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053887

License Status

CANCELLED

Business

Title

First Name

LAZARO

Middle

Last Name

DIAZ NUNEZ

Business Name

LAZARO R DIAZ NUNEZ MD

Original Issue Date

01/21/2008

Effective Date

01/21/2008

Expiration Date

01/20/2011

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/20/2010