TIMOTHY AUSTIN LANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146911

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

AUSTIN

Last Name

LANE

Business Name

TIMOTHY AUSTIN LANE MD

Original Issue Date

07/13/2018

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

06/22/2023