THADDEUS W LIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022604

License Status

EXPIRED

Business

First Name

THADDEUS W

Last Name

LIS

Suffix

Business Name

THADDEUS W LIS MD

Original Issue Date

06/03/1988

Effective Date

06/03/1988

Expiration Date

06/22/1991

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006