JILL R UTLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

UTLEY

Suffix

Business Name

JILL R UTLEY MD

Original Issue Date

06/29/2005

Effective Date

06/19/2008

Expiration Date

07/31/2011

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011