MONET LANE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001608

License Status

EXPIRED

Business

Title

First Name

MONET

Last Name

LANE

Business Name

MONET LANE MD

Original Issue Date

03/25/2024

Effective Date

03/25/2024

Expiration Date

04/24/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

01/08/2025