KEITH ALAN LASKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

KEITH ALAN

Last Name

LASKO

Suffix

Business Name

KEITH ALAN LASKO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006