LANCE W COLEMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027740

License Status

EXPIRED

Business

First Name

LANCE W

Last Name

COLEMAN

Business Name

LANCE W COLEMAN

Original Issue Date

04/24/1992

Effective Date

04/24/1992

Expiration Date

06/22/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

10/25/2018