POJ LYSOUVAKON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098561

License Status

ACTIVE

Business

First Name

POJ

Last Name

LYSOUVAKON

Business Name

POJ LYSOUVAKON

Original Issue Date

08/03/1998

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2023