TREVOR W LISSOOS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020439

License Status

EXPIRED

Business

First Name

TREVOR W

Last Name

LISSOOS

Business Name

TREVOR W LISSOOS

Original Issue Date

03/05/1987

Effective Date

03/05/1987

Expiration Date

01/01/1990

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006