ANN HILLERY LAKE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

ANN HILLERY

Last Name

LAKE

Business Name

ANN HILLERY LAKE

Original Issue Date

04/02/1987

Effective Date

04/02/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006