LANCE DAVID REAL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122795

License Status

ACTIVE

Business

First Name

LANCE

Middle

DAVID

Last Name

REAL

Business Name

LANCE DAVID REAL

Original Issue Date

03/06/2009

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

MOUNT STERLING

State

Zip

62353

County

BROWN

Ever Disciplined

LastModifiedDate

04/20/2023