JOE L LARA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

JOE

Middle

Last Name

LARA

Suffix

JR MD

Business Name

JOE L LARA JR MD

Original Issue Date

12/14/1990

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011