JENNIFER ASHLEY LAZOR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

ASHLEY

Last Name

LAZOR

Business Name

JENNIFER ASHLEY LAZOR DO

Original Issue Date

12/19/2014

Effective Date

12/19/2014

Expiration Date

07/31/2017

City

LYNDHURST

State

Zip

44124

County

OHIO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017