LISA K EVERSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022757

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

EVERSON

Business Name

LISA K EVERSON

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

07/01/1991

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006