LAFAYETTE M TYLEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066821

License Status

NOT RENEWED

Business

First Name

LAFAYETTE M

Last Name

TYLEE

Suffix

Business Name

LAFAYETTE M TYLEE MD

Original Issue Date

06/29/1983

Effective Date

06/29/1983

Expiration Date

07/31/1984

City

NORTHBROOK

State

Zip

60062

County

LAKE

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

2006001496

Action

Refuse To Renew

Discipline Start Date

06/13/2006