MATTHEW PATRICK LAZIO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122864

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

PATRICK

Last Name

LAZIO

Suffix

Business Name

MATTHEW PATRICK LAZIO MD

Original Issue Date

03/17/2009

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

MADISON

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017