SUSAN D LIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021084

License Status

EXPIRED

Business

First Name

SUSAN D

Last Name

LIS

Business Name

SUSAN D LIS

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

06/08/1990

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006