JOHN M LASALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

JOHN M

Last Name

LASALA

Suffix

Business Name

JOHN M LASALA MD

Original Issue Date

08/13/1990

Effective Date

08/13/1990

Expiration Date

07/31/1993

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006