CARLOS LARA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072547

License Status

CANCELLED

Business

Title

First Name

CARLOS

Last Name

LARA

Business Name

CARLOS LARA MD

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/26/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/15/2021