JACK A TISINAI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065951

License Status

NOT RENEWED

Business

First Name

JACK A

Last Name

TISINAI

Suffix

Business Name

JACK A TISINAI DO

Original Issue Date

01/18/1983

Effective Date

01/18/1983

Expiration Date

07/31/2005

City

PLANO

State

Zip

60545

County

KENDALL

Ever Disciplined

LastModifiedDate

10/09/2006