LISA J DEWITT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082975

License Status

NOT RENEWED

Business

First Name

LISA J

Last Name

DEWITT

Suffix

Business Name

LISA J DEWITT DO

Original Issue Date

07/16/1991

Effective Date

07/16/1991

Expiration Date

07/31/1996

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006