LISA A MIMS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032663

License Status

EXPIRED

Business

First Name

LISA A

Last Name

MIMS

Business Name

LISA A MIMS

Original Issue Date

05/24/1995

Effective Date

05/24/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006