EFFIE DIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064035

License Status

NOT RENEWED

Business

First Name

EFFIE

Last Name

DIS

Suffix

Business Name

EFFIE DIS MD

Original Issue Date

03/04/1982

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

GLENVIEW

State

Zip

60026

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011