MICHAEL G LACEY DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

Title

DPM

First Name

MICHAEL

Middle

Last Name

LACEY

Business Name

MICHAEL G LACEY DPM

Original Issue Date

09/30/2004

Effective Date

01/15/2025

Expiration Date

01/31/2027

City

HOFFMAN ESTATES

State

Zip

60169

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025