MOLLY LAUREN LACY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000215

License Status

EXPIRED

Business

First Name

MOLLY

Middle

LAUREN

Last Name

LACY

Suffix

Business Name

MOLLY LAUREN LACY MD

Original Issue Date

03/01/2007

Effective Date

03/01/2007

Expiration Date

08/31/2007

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/19/2007