LANCE B BECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066209

License Status

NOT RENEWED

Business

First Name

LANCE B

Last Name

BECKER

Suffix

Business Name

LANCE B BECKER MD

Original Issue Date

03/10/1983

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008