JANAN R LANE DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****98

NOT RENEWED

N

JANAN R

LANE

DO

JANAN R LANE DO

12/22/1988

12/22/1988

07/31/1990

DOWNERS GROVE

IL

60515

DUPAGE

II III IV V

N

09/26/2006