HERBERT PERRY LASH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****34

NOT RENEWED

N

HERBERT PERRY

LASH

MD

HERBERT PERRY LASH MD

01/01/1997

07/31/2002

ROCKFORD

IL

61107

BOONE

II III IV V

N

10/09/2006