LISA B MCKENNA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020555

License Status

EXPIRED

Business

First Name

LISA B

Last Name

MCKENNA

Suffix

Business Name

LISA B MCKENNA MD

Original Issue Date

04/30/1987

Effective Date

04/30/1987

Expiration Date

06/24/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006