LACEY LEA KRUSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135447

License Status

ACTIVE

Business

Title

First Name

LACEY

Middle

LEA

Last Name

KRUSE

Business Name

LACEY LEA KRUSE MD

Original Issue Date

06/09/2014

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023