JOHN M LASALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000023

License Status

EXPIRED

Business

First Name

JOHN M

Last Name

LASALA

Suffix

Business Name

JOHN M LASALA MD

Original Issue Date

12/04/1995

Effective Date

12/04/1995

Expiration Date

03/27/1996

City

ST LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/23/2006