SEGUNDINA C LAZO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

SEGUNDINA C

Last Name

LAZO

Suffix

Business Name

SEGUNDINA C LAZO MD

Original Issue Date

09/06/1989

Effective Date

09/06/1989

Expiration Date

07/31/1996

City

BROOKSIDE

State

Zip

62801

County

CLINTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006