RICHARD DAVID LANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

RICHARD DAVID

Last Name

LANE

Suffix

Business Name

RICHARD DAVID LANE MD

Original Issue Date

08/26/1987

Effective Date

08/26/1987

Expiration Date

07/31/1990

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006