JACK M LOCKHART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045440

License Status

NOT RENEWED

Business

First Name

JACK M

Last Name

LOCKHART

Suffix

Business Name

JACK M LOCKHART MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

City

FT. SHERIDAN

State

Zip

60037

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006