Indiana
Professional Licensing Agency
Nicholas W. Lazoff, M.D.
Medical Licensing Board - Medical Corporation
License number
50004474A
Date granted
11/25/2002
Date expires
01/31/2012
Class
Medical Licensing Board - Medical Corporation
Status
Expired Non-Renewable
Address
9820 Harbour Bay, Fort Wayne IN 46804
indianalicensing.org
ID 24826809
LAST UPDATED 2024-02-05 09:41:23 UTC
LAST UPDATED 2024-02-05 09:41:23 UTC
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