RICHARD ALEXANDE LANE MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****08

NOT RENEWED

N

RICHARD ALEXANDE

LANE

MD

RICHARD ALEXANDE LANE MD

01/01/1997

07/31/1999

DEKALB

IL

60115

DEKALB

II III IV V

N

09/26/2006