LISA L LARGE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022217

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

LARGE

Business Name

LISA L LARGE

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

06/22/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006