JAY A RISEMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019250

License Status

EXPIRED

Business

First Name

JAY

Middle

Last Name

RISEMAN

Suffix

Business Name

JAY A RISEMAN MD

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

07/01/1989

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006