ALICJA D LISAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027628

License Status

EXPIRED

Business

First Name

ALICJA D

Last Name

LISAK

Suffix

Business Name

ALICJA D LISAK MD

Original Issue Date

02/18/1992

Effective Date

02/18/1992

Expiration Date

02/28/1995

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006