WILLIAM DEAN LACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132899

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

DEAN

Last Name

LACK

Business Name

WILLIAM DEAN LACK MD

Original Issue Date

05/10/2013

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021