JOHN CHRISTOPHER LACUNZA 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

JOHN

Middle

CHRISTOPHER

Last Name

LACUNZA

Suffix

Business Name

JOHN CHRISTOPHER LACUNZA MD

Original Issue Date

10/03/2006

Effective Date

07/08/2014

Expiration Date

07/31/2017

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017