MELISSA ANN LAZAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

ANN

Last Name

LAZAR

Business Name

MELISSA ANN LAZAR MD

Original Issue Date

06/04/2012

Effective Date

06/04/2012

Expiration Date

07/31/2014

City

PHILADELPHIA

State

Zip

19107

County

PENNSYLVANIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014