LOIS R NISKA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089786

License Status

NOT RENEWED

Business

First Name

LOIS

Middle

Last Name

NISKA

Suffix

Business Name

LOIS R NISKA DO

Original Issue Date

10/07/1994

Effective Date

10/07/1994

Expiration Date

07/31/1999

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

04/09/2009