CARIANNE N LILLY Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000567

License Status

EXPIRED

Business

First Name

CARIANNE

Middle

Last Name

LILLY

Business Name

CARIANNE N LILLY

Original Issue Date

07/19/2004

Effective Date

07/19/2004

Expiration Date

06/30/2006

City

MILWAUKEE

State

Zip

53221

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/25/2006