LANE EDWARD WILLIAMS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

CANCELLED

Business

First Name

LANE EDWARD

Last Name

WILLIAMS

Suffix

Business Name

LANE EDWARD WILLIAMS MD

Original Issue Date

08/10/1994

Effective Date

08/10/1994

Expiration Date

07/31/2005

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006