LETICIA D LACSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

LETICIA D

Last Name

LACSON

Suffix

Business Name

LETICIA D LACSON MD

Original Issue Date

01/27/1987

Effective Date

01/27/1987

Expiration Date

07/31/1987

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006