Lacey Kathryn Montgomery
ExpiredIllinois license 38*****02
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****02
- Status
- Expired (Not Renewed)
- First issued
- June 2, 2004
- Expired
- March 1, 2012
- License holder
- Lacey Kathryn Montgomery
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 03/02/2010
Other Illinois licenses under this name
-
IL
ExpiredChicago, ILExpired Mar 1, 2012
Contact
Chicago, IL 60637
Cook County