JEROME CHARLES LANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100806

License Status

ACTIVE

Business

First Name

JEROME

Middle

CHARLES

Last Name

LANE

Suffix

Business Name

JEROME CHARLES LANE MD

Original Issue Date

07/27/1999

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2023