LANCE A MAKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089517

License Status

NOT RENEWED

Business

First Name

LANCE A

Last Name

MAKI

Suffix

Business Name

LANCE A MAKI MD

Original Issue Date

08/24/1994

Effective Date

08/24/1994

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/01/2012