LISA RENEE FERLEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

LISA

Middle

RENEE

Last Name

FERLEY

Business Name

LISA RENEE FERLEY

Original Issue Date

06/28/2004

Effective Date

06/11/2008

Expiration Date

07/31/2011

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011