PHOT LUISIRI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026481

License Status

EXPIRED

Business

First Name

PHOT

Last Name

LUISIRI

Business Name

PHOT LUISIRI

Original Issue Date

05/08/1991

Effective Date

05/08/1991

Expiration Date

06/23/1994

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006