EDWARD B PAULISSIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042078

License Status

NOT RENEWED

Business

First Name

EDWARD B

Last Name

PAULISSIAN

Suffix

Business Name

EDWARD B PAULISSIAN MD

Original Issue Date

08/01/1968

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008