JUSTIN Q LY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118205

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

Last Name

Suffix

Business Name

JUSTIN Q LY MD

Original Issue Date

04/19/2007

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

BEACHWOOD

State

Zip

44122

Ever Disciplined

LastModifiedDate

07/12/2023