EDWARD W LAZZAR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002791

License Status

NOT RENEWED

Business

First Name

EDWARD W

Last Name

LAZZAR

Business Name

EDWARD W LAZZAR

Original Issue Date

07/29/1974

Effective Date

07/29/1974

Expiration Date

01/31/1999

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006