LISA M FOSTER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102323

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

FOSTER

Suffix

Business Name

LISA M FOSTER MD

Original Issue Date

04/11/2000

Effective Date

04/11/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006