PHILIP E LANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

PHILIP E

Last Name

LANE

Suffix

Business Name

PHILIP E LANE MD

Original Issue Date

12/07/2020

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023