LISA G COOK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048343

License Status

EXPIRED

Business

First Name

LISA

Middle

Last Name

COOK

Suffix

Business Name

LISA G COOK MD

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2005

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006