JOSEPH P LISANTI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034585

License Status

EXPIRED

Business

First Name

JOSEPH

Middle

Last Name

LISANTI

Business Name

JOSEPH P LISANTI

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

06/30/1999

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/19/2009