LILYBETH C SISTOZA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032004

License Status

EXPIRED

Business

First Name

LILYBETH C

Last Name

SISTOZA

Business Name

LILYBETH C SISTOZA

Original Issue Date

06/28/1994

Effective Date

06/28/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006