LUCY BEATRICE LANE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158262

License Status

NOT RENEWED

Business

Title

First Name

LUCY

Middle

BEATRICE

Last Name

LANE

Business Name

LUCY BEATRICE LANE MD

Original Issue Date

09/12/2021

Effective Date

09/12/2021

Expiration Date

07/31/2023

City

SOUTH HERO

State

Zip

05486

Ever Disciplined

LastModifiedDate

11/30/2023