FRANK T LASALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

FRANK T

Last Name

LASALA

Suffix

Business Name

FRANK T LASALA MD

Original Issue Date

05/08/2006

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

MONMOUTH

State

Zip

61462

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023