MICHAEL H LISIAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072756

License Status

NOT RENEWED

Business

First Name

MICHAEL H

Last Name

LISIAK

Suffix

Business Name

MICHAEL H LISIAK MD

Original Issue Date

05/19/1986

Effective Date

05/19/1986

Expiration Date

07/31/1990

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006