GUILLERMO LARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

GUILLERMO

Last Name

LARA

Suffix

Business Name

GUILLERMO LARA MD

Original Issue Date

01/01/1997

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017