LISA A LOMBARD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039247

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

LOMBARD

Business Name

LISA A LOMBARD

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

06/21/2003

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006