JOSH THEOPHILUS LAZARUS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060388

License Status

EXPIRED

Business

First Name

JOSH

Middle

THEOPHILUS

Last Name

LAZARUS

Suffix

Business Name

JOSH THEOPHILUS LAZARUS MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/13/2015