JOHN DAVID LILLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

DAVID

Last Name

LILLEY

Business Name

JOHN DAVID LILLEY MD

Original Issue Date

08/18/2014

Effective Date

08/18/2014

Expiration Date

07/31/2017

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017