JAKE MICHAEL LAZAROFF MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074787

License Status

EXPIRED

Business

Title

First Name

JAKE

Middle

MICHAEL

Last Name

LAZAROFF

Business Name

JAKE MICHAEL LAZAROFF MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

03/06/2024