MICHAEL H LISIAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015875

License Status

EXPIRED

Business

First Name

MICHAEL H

Last Name

LISIAK

Suffix

Business Name

MICHAEL H LISIAK MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/19/1985

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006