Mary K Lane

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085000746

Status

Expired (Not Renewed)

First issued

February 6, 1996

Expired

March 1, 2010

License holder

Mary K Lane

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

12/14/2007

Other Illinois licenses under this name

• IL
  Mary K Lane

  License 38*****52

  Physician Assistant Controlled Substance
  Expired

  Glen Carbon, IL

  Expired Mar 1, 2010

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