SCOTT GREGORY LILLY Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115665

License Status

INACTIVE

Business

First Name

SCOTT

Middle

GREGORY

Last Name

LILLY

Business Name

SCOTT GREGORY LILLY

Original Issue Date

04/11/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

TULSA

State

Zip

74137

Ever Disciplined

LastModifiedDate

07/30/2008