SCOTT GREGORY LILLY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

CANCELLED

Business

First Name

SCOTT

Middle

GREGORY

Last Name

LILLY

Business Name

SCOTT GREGORY LILLY

Original Issue Date

04/17/2006

Effective Date

04/17/2006

Expiration Date

07/31/2008

City

ZION

State

Zip

60099

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2008