TREVOR W LISSOOS - Medical Doctor License in Indiana | # 036076961

TREVOR W LISSOOS

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076961

License Status

ACTIVE

Business

N

First Name

TREVOR W

Last Name

LISSOOS

Business Name

TREVOR W LISSOOS

Original Issue Date

04/25/1988

Effective Date

04/09/2023

Expiration Date

07/31/2026

State

IN

Ever Disciplined

N

LastModifiedDate

04/09/2023