LISTIANINGSIH M HARIMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070563

License Status

ACTIVE

Business

First Name

LISTIANINGSIH

Middle

Last Name

HARIMAN

Suffix

Business Name

LISTIANINGSIH M HARIMAN MD

Original Issue Date

05/23/1985

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/06/2023