ANTHONY EUGENE SISK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132479

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY

Middle

EUGENE

Last Name

SISK

Business Name

ANTHONY EUGENE SISK DO

Original Issue Date

04/16/2013

Effective Date

04/16/2013

Expiration Date

07/31/2014

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014