JEFFREY W LASH DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****64

NOT RENEWED

N

JEFFREY W

LASH

DO

JEFFREY W LASH DO

03/16/1984

03/16/1984

07/31/2005

CHARLESTON

IL

61920

COLES

II III IV V

N

10/09/2006