JIMMY LOCKLEAR MD - Medical Doctor License in Illinois | # 036066657

JIMMY LOCKLEAR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066657

License Status

NOT RENEWED

Business

N

First Name

JIMMY

Last Name

LOCKLEAR

Suffix

MD

Business Name

JIMMY LOCKLEAR MD

Original Issue Date

06/07/1983

Effective Date

06/07/1983

Expiration Date

07/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2006