DANIEL A LACE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019657

License Status

EXPIRED

Business

First Name

DANIEL A

Last Name

LACE

Suffix

Business Name

DANIEL A LACE MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

07/01/1989

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006