EDMAR M LACAY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124302

License Status

INACTIVE

Business

First Name

EDMAR

Middle

Last Name

LACAY

Suffix

Business Name

EDMAR M LACAY MD

Original Issue Date

08/31/2009

Effective Date

08/31/2009

Expiration Date

07/31/2011

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/07/2011