LANA A DOXTATER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111095

License Status

NOT RENEWED

Business

First Name

LANA

Middle

Last Name

DOXTATER

Business Name

LANA A DOXTATER

Original Issue Date

03/25/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008