AARON NICHOLAS LACKAMP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045834

License Status

EXPIRED

Business

First Name

AARON

Middle

NICHOLAS

Last Name

LACKAMP

Suffix

Business Name

AARON NICHOLAS LACKAMP MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006