SPENCER CLARK LACY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166728

License Status

ACTIVE

Business

Title

First Name

SPENCER

Middle

CLARK

Last Name

LACY

Business Name

SPENCER CLARK LACY MD

Original Issue Date

08/25/2023

Effective Date

08/25/2023

Expiration Date

07/31/2026

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

08/10/2023