LIZA ANN SQUIRES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020176

License Status

EXPIRED

Business

First Name

LIZA ANN

Last Name

SQUIRES

Business Name

LIZA ANN SQUIRES

Original Issue Date

07/30/1986

Effective Date

07/30/1986

Expiration Date

07/30/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006