LISA C RENSHAW Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023072

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

RENSHAW

Business Name

LISA C RENSHAW

Original Issue Date

07/25/1988

Effective Date

07/25/1988

Expiration Date

09/20/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006