CARIANNE N LILLY Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****94

License Status

CANCELLED

Business

First Name

CARIANNE

Middle

Last Name

LILLY

Business Name

CARIANNE N LILLY

Original Issue Date

05/18/2006

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2008