JACK STEVEN LISSAUER MD - Medical Doctor License in Ohio | # 036046633

JACK STEVEN LISSAUER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046633

License Status

NOT RENEWED

Business

N

First Name

JACK STEVEN

Last Name

LISSAUER

Suffix

MD

Business Name

JACK STEVEN LISSAUER MD

Original Issue Date

11/16/1972

Effective Date

11/16/1972

Expiration Date

07/31/1984

State

OH

Ever Disciplined

N

LastModifiedDate

09/20/2006