TIMOTHY AUSTIN LANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

AUSTIN

Last Name

LANE

Business Name

TIMOTHY AUSTIN LANE MD

Original Issue Date

08/02/2018

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023