DANIEL S LAZAR MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****21

ACTIVE

N

DANIEL S

LAZAR

MD

DANIEL S LAZAR MD

10/17/1990

04/17/2023

07/31/2026

MORTON GROVE

IL

60053

COOK

II III IV V

N

04/17/2023