LOUIS J TISOVEC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042461

License Status

NOT RENEWED

Business

First Name

LOUIS J

Last Name

TISOVEC

Suffix

Business Name

LOUIS J TISOVEC MD

Original Issue Date

04/14/1969

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2014