LANCE W COLEMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090853

License Status

NOT RENEWED

Business

First Name

LANCE W

Last Name

COLEMAN

Business Name

LANCE W COLEMAN

Original Issue Date

06/10/1995

Effective Date

06/10/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/03/2020