LISA MICHELLE HARRISON DPM - Podiatrist License in Illinois | # 135001018

LISA MICHELLE HARRISON DPM

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001018

License Status

EXPIRED

Business

N

Title

DPM

First Name

LISA

Middle

MICHELLE

Last Name

HARRISON

Business Name

LISA MICHELLE HARRISON DPM

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2021

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022