RICHARD DAVID LANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062102

License Status

NOT RENEWED

Business

First Name

RICHARD DAVID

Last Name

LANE

Suffix

Business Name

RICHARD DAVID LANE MD

Original Issue Date

05/04/1981

Effective Date

05/04/1981

Expiration Date

07/31/1990

City

NORTH CHICAGO

State

Zip

60064

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006