JOSHUA R LACEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000968

License Status

NOT RENEWED

Business

Title

First Name

JOSHUA

Middle

Last Name

LACEY

Business Name

JOSHUA R LACEY MD

Original Issue Date

08/27/2013

Effective Date

08/27/2013

Expiration Date

02/26/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

08/12/2014