GEORGE WINSTON LANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064025

License Status

NOT RENEWED

Business

First Name

GEORGE WINSTON

Last Name

LANE

Suffix

Business Name

GEORGE WINSTON LANE MD

Original Issue Date

03/04/1982

Effective Date

10/30/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021