KENNETH E LANE JR Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

KENNETH E

Last Name

LANE JR

Business Name

KENNETH E LANE JR

Original Issue Date

01/01/1998

Expiration Date

01/31/1997

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006