Lacey Kathryn Montgomery

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085002214

Status

Expired (Not Renewed)

First issued

February 23, 2004

Expired

March 1, 2012

License holder

Lacey Kathryn Montgomery

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

03/02/2010

Other Illinois licenses under this name

• IL
  Lacey Kathryn Montgomery

  License 38*****02

  Physician Assistant Controlled Substance
  Expired

  Chicago, IL

  Expired Mar 1, 2012

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