EVERETT DONALD MCKISSIC MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049822

License Status

INACTIVE

Business

First Name

EVERETT DONALD

Last Name

MCKISSIC

Suffix

Business Name

EVERETT DONALD MCKISSIC MD

Original Issue Date

08/28/1974

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011