JULIETA LASALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

JULIETA

Last Name

LASALA

Business Name

JULIETA LASALA MD

Original Issue Date

08/22/2017

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023