JOHN T LISAC DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

JOHN T

Last Name

LISAC

Suffix

DDS

Business Name

JOHN T LISAC DDS

Original Issue Date

08/24/1990

Effective Date

09/25/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/08/2016