ADAM LARRY LAZARUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142839

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

LARRY

Last Name

LAZARUS

Business Name

ADAM LARRY LAZARUS MD

Original Issue Date

03/30/2017

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

SOUTHAMPTON

State

Zip

08088

Ever Disciplined

LastModifiedDate

01/14/2021