MARY C HANLEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

HANLEY

Business Name

MARY C HANLEY

Original Issue Date

03/17/2009

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023