JOSEPH A LANE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

JOSEPH

Middle

Last Name

LANE

Business Name

JOSEPH A LANE

Original Issue Date

12/23/2003

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023