ANDRE D LASCARI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****14

NOT RENEWED

N

ANDRE D

LASCARI

MD

ANDRE D LASCARI MD

12/15/1981

12/15/1981

07/31/1984

SPRINGFIELD

IL

62708

SANGAMON

II III IV V

N

09/26/2006