JOEL O LILLEVIG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093202

License Status

NOT RENEWED

Business

First Name

JOEL O

Last Name

LILLEVIG

Suffix

Business Name

JOEL O LILLEVIG MD

Original Issue Date

06/18/1996

Effective Date

07/03/2014

Expiration Date

07/31/2017

City

PADUCAH

State

Zip

42001

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/01/2017