LISA J DEWITT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025638

License Status

EXPIRED

Business

First Name

LISA J

Last Name

DEWITT

Suffix

Business Name

LISA J DEWITT DO

Original Issue Date

06/21/1990

Effective Date

06/21/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006