LISA M YERIAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108407

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

YERIAN

Business Name

LISA M YERIAN

Original Issue Date

01/09/2003

Effective Date

01/09/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006