JOHAN OLOF LANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132255

License Status

ACTIVE

Business

Title

First Name

JOHAN

Middle

OLOF

Last Name

LANE

Business Name

JOHAN OLOF LANE MD

Original Issue Date

04/04/2013

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

04/14/2023