LISA A KOWALSKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028424

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

KOWALSKI

Suffix

Business Name

LISA A KOWALSKI MD

Original Issue Date

05/29/1992

Effective Date

05/29/1992

Expiration Date

06/30/1997

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006