LILY JOAN LOU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

LILY

Middle

JOAN

Last Name

LOU

Business Name

LILY JOAN LOU MD

Original Issue Date

11/18/2020

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023