LORIS ANTONIO TISOCCO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054667

License Status

NOT RENEWED

Business

First Name

LORIS ANTONIO

Last Name

TISOCCO

Suffix

Business Name

LORIS ANTONIO TISOCCO MD

Original Issue Date

06/09/1977

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021