MICHAEL P LILLY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072835

License Status

INACTIVE

Business

First Name

MICHAEL P

Last Name

LILLY

Suffix

Business Name

MICHAEL P LILLY MD

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

07/31/1987

City

BALTIMORE

State

Zip

21201

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006