LUCIUS C EARLES III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042961

License Status

NOT RENEWED

Business

First Name

LUCIUS C

Last Name

EARLES III

Suffix

Business Name

LUCIUS C EARLES III MD

Original Issue Date

09/26/1969

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021