EDMAR M LACAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

CANCELLED

Business

First Name

EDMAR

Middle

Last Name

LACAY

Suffix

Business Name

EDMAR M LACAY MD

Original Issue Date

09/11/2009

Effective Date

09/11/2009

Expiration Date

07/31/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011