PHILIP E LANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051264

License Status

ACTIVE

Business

First Name

PHILIP E

Last Name

LANE

Suffix

Business Name

PHILIP E LANE MD

Original Issue Date

07/10/1975

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

12/16/2024