ERNST WILLIAM LISEK IV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029891

License Status

EXPIRED

Business

First Name

ERNST

Middle

WILLIAM

Last Name

LISEK

Suffix

IV MD

Business Name

ERNST WILLIAM LISEK IV MD

Original Issue Date

05/26/1993

Effective Date

05/26/1993

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006