MARY K LOCKARD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111319

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

LOCKARD

Business Name

MARY K LOCKARD

Original Issue Date

05/19/2004

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

04/07/2023