THADDEUS W LIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082771

License Status

NOT RENEWED

Business

First Name

THADDEUS W

Last Name

LIS

Suffix

Business Name

THADDEUS W LIS MD

Original Issue Date

06/28/1991

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008