LILLY Y MOON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

LILLY

Middle

YOUNG-HI

Last Name

MOON

Business Name

LILLY Y MOON

Original Issue Date

08/05/1996

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023