LACEY ANN WOOD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071190

License Status

EXPIRED

Business

Title

First Name

LACEY

Middle

ANN

Last Name

WOOD

Business Name

LACEY ANN WOOD DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/11/2022