TERRY E LILLY JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041824

License Status

NOT RENEWED

Business

First Name

TERRY E

Last Name

LILLY JR

Suffix

Business Name

TERRY E LILLY JR MD

Original Issue Date

06/25/1968

Effective Date

06/25/1968

City

TUSTIN

State

Zip

92680

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006