JOHN DALE LIGHTFOOT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

JOHN DALE

Last Name

LIGHTFOOT

Suffix

Business Name

JOHN DALE LIGHTFOOT MD

Original Issue Date

01/01/1997

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023