LILY ANN PALMER HANES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

CANCELLED

Business

First Name

LILY ANN PALMER

Last Name

HANES

Suffix

Business Name

LILY ANN PALMER HANES MD

Original Issue Date

08/10/1983

Effective Date

08/10/1983

Expiration Date

07/31/1990

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006