License Directory

Gaylin Duane Lack Md

Expired

Illinois license 036060129

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036060129
Status
Expired (Not Renewed)
First issued
March 13, 1980
Expired
July 31, 2014
License holder
Gaylin Duane Lack Md
Entity type
Individual

Classifications

More from the license record

Current term began
04/15/2011

Other Illinois licenses under this name

  • IL
    Gaylin Duane Lack Md
    License 33*****08
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Peru, IL
    Expired Jul 31, 2014

Contact

Coeur D Alene, ID 83814
Idaho County