LISA MARIAN DONOFRIO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000551

License Status

EXPIRED

Business

Title

First Name

LISA

Middle

MARIAN

Last Name

DONOFRIO

Business Name

LISA MARIAN DONOFRIO MD

Original Issue Date

10/23/2019

Effective Date

10/23/2019

Expiration Date

10/27/2019

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2020