TOM A LASSAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061514

License Status

NOT RENEWED

Business

First Name

TOM A

Last Name

LASSAR

Suffix

Business Name

TOM A LASSAR MD

Original Issue Date

01/16/1981

Effective Date

01/16/1981

Expiration Date

07/31/1984

City

SHOREWOOD

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/30/2013