STEVEN MARK LISS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065005

License Status

INACTIVE

Business

First Name

STEVEN MARK

Last Name

LISS

Suffix

Business Name

STEVEN MARK LISS MD

Original Issue Date

07/30/1982

Effective Date

07/30/1982

Expiration Date

07/31/2005

City

HARRISON

State

Zip

83833

County

IDAHO

Ever Disciplined

LastModifiedDate

10/09/2006