LIISA M TACK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018437

License Status

EXPIRED

Business

First Name

LIISA M

Last Name

TACK

Suffix

Business Name

LIISA M TACK MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

06/22/1988

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006