SOFIA LAZARIDIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

SOFIA

Last Name

LAZARIDIS

Suffix

Business Name

SOFIA LAZARIDIS MD

Original Issue Date

12/01/1998

Effective Date

12/01/1998

Expiration Date

07/31/1999

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006