ROGER A LALICH DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072161

License Status

INACTIVE

Business

First Name

ROGER A

Last Name

LALICH

Suffix

Business Name

ROGER A LALICH DO

Original Issue Date

12/23/1985

Effective Date

12/23/1985

Expiration Date

07/31/1990

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006