FRANK T LASALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

FRANK T

Last Name

LASALA

Suffix

Business Name

FRANK T LASALA MD

Original Issue Date

08/09/1983

Effective Date

08/09/1983

Expiration Date

07/31/1996

City

HOPKINS PARK

State

Zip

60944

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020