LUCAS ANISSIAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043739

License Status

EXPIRED

Business

First Name

LUCAS

Last Name

ANISSIAN

Suffix

Business Name

LUCAS ANISSIAN MD

Original Issue Date

07/27/2001

Effective Date

07/27/2001

Expiration Date

07/26/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006