JIMMY LOCKLEAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066657

License Status

NOT RENEWED

Business

First Name

JIMMY

Last Name

LOCKLEAR

Suffix

Business Name

JIMMY LOCKLEAR MD

Original Issue Date

06/07/1983

Effective Date

06/07/1983

Expiration Date

07/31/1987

City

LAGRANGE PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006