ZACHARY ROBERT LASTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158668

License Status

ACTIVE

Business

Title

First Name

ZACHARY

Middle

ROBERT

Last Name

LASTE

Business Name

ZACHARY ROBERT LASTE MD

Original Issue Date

11/02/2021

Effective Date

10/03/2023

Expiration Date

07/31/2026

City

PEWAUKEE

State

Zip

53072

Ever Disciplined

LastModifiedDate

10/03/2023