LISA M MEMMEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116173

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MEMMEL

Suffix

Business Name

LISA M MEMMEL MD

Original Issue Date

06/08/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011