CARIANNE N LILLY - Podiatrist License in Wisconsin | # 135000567

CARIANNE N LILLY

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000567

License Status

EXPIRED

Business

N

First Name

CARIANNE

Middle

N

Last Name

LILLY

Business Name

CARIANNE N LILLY

Original Issue Date

07/19/2004

Effective Date

07/19/2004

Expiration Date

06/30/2006

State

WI

Ever Disciplined

N

LastModifiedDate

09/25/2006