STEVEN J LISSAU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021353

License Status

EXPIRED

Business

First Name

STEVEN J

Last Name

LISSAU

Business Name

STEVEN J LISSAU

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006