SUSAN D LIS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078743

License Status

ACTIVE

Business

First Name

SUSAN D

Last Name

LIS

Business Name

SUSAN D LIS

Original Issue Date

04/21/1989

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

06/01/2023