NICHOLAS STUART LYSAK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156555

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

STUART

Last Name

LYSAK

Business Name

NICHOLAS STUART LYSAK

Original Issue Date

04/14/2021

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023