DAVID WAYNE LOCKHART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

DAVID WAYNE

Last Name

LOCKHART

Suffix

Business Name

DAVID WAYNE LOCKHART MD

Original Issue Date

01/01/1997

Effective Date

05/24/2017

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021