GEORGE WINSTON LANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

GEORGE WINSTON

Last Name

LANE

Suffix

Business Name

GEORGE WINSTON LANE MD

Original Issue Date

05/27/1982

Effective Date

05/10/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020