GENTILLA LUCY KEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

GENTILLA LUCY

Last Name

KEY

Suffix

Business Name

GENTILLA LUCY KEY MD

Original Issue Date

10/20/1993

Effective Date

10/20/1993

Expiration Date

07/31/1996

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006