ROY LACEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055042

License Status

NOT RENEWED

Business

First Name

ROY

Last Name

LACEY

Suffix

Business Name

ROY LACEY DO

Original Issue Date

07/18/1977

Effective Date

07/22/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023