MICHAEL T LAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044965

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

LAM

Suffix

Business Name

MICHAEL T LAM MD

Original Issue Date

06/10/2002

Effective Date

06/10/2002

Expiration Date

06/09/2003

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006