KENNETH J LIESEN MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003192

License Status

NOT RENEWED

Business

Business Name

KENNETH J LIESEN MD SC

Original Issue Date

12/26/1977

Effective Date

04/20/2022

Expiration Date

01/01/2025

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

04/03/2025