BRIANNE NICOLE LACY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081825

License Status

ACTIVE

Business

Title

First Name

BRIANNE

Middle

NICOLE

Last Name

LACY

Business Name

BRIANNE NICOLE LACY MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/10/2023