LARRY R LANE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046016

License Status

INACTIVE

Business

First Name

LARRY R

Last Name

LANE

Suffix

Business Name

LARRY R LANE MD

Original Issue Date

08/17/1972

Effective Date

06/02/2011

Expiration Date

07/31/2014

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/17/2012

Case Number

2012008057

Action

Reprimand

Discipline Start Date

08/02/2013