DANIEL A LACE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

DANIEL A

Last Name

LACE

Suffix

Business Name

DANIEL A LACE MD

Original Issue Date

12/18/1987

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

WAYNE

State

Zip

60184

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023