LOCEEAN LANEY

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****81

ACTIVE

N

LOCEEAN

LANEY

LOCEEAN LANEY

09/20/2001

02/14/2024

03/01/2026

DECATUR

IL

62526

MACON

II III IV V

N

12/03/2025