JAY A RISEMAN MD - Medical Doctor License in Illinois | # 125019250

JAY A RISEMAN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019250

License Status

EXPIRED

Business

N

First Name

JAY

Middle

A

Last Name

RISEMAN

Suffix

MD

Business Name

JAY A RISEMAN MD

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

07/01/1989

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006