MARK J PISANESCHI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025077

License Status

EXPIRED

Business

First Name

MARK J

Last Name

PISANESCHI

Suffix

Business Name

MARK J PISANESCHI MD

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006