KYLE L LACY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166584

License Status

ACTIVE

Business

Title

First Name

KYLE

Middle

Last Name

LACY

Business Name

KYLE L LACY MD

Original Issue Date

08/17/2023

Effective Date

08/17/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

Ever Disciplined

LastModifiedDate

08/17/2023