RUDY P LACKNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

RUDY P

Last Name

LACKNER

Suffix

Business Name

RUDY P LACKNER MD

Original Issue Date

07/25/1990

Effective Date

07/25/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006