CHARLES LAWRENCE LAHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144335

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

LAWRENCE

Last Name

LAHAM

Business Name

CHARLES LAWRENCE LAHAM MD

Original Issue Date

09/15/2017

Effective Date

09/15/2017

Expiration Date

09/30/2020

City

MANITOWOC, WI, USA

State

Zip

54220

Ever Disciplined

LastModifiedDate

01/14/2021