LEA Q LISOWSKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048765

License Status

EXPIRED

Business

Title

First Name

LEA

Middle

Last Name

LISOWSKI

Business Name

LEA Q LISOWSKI MD

Original Issue Date

07/20/2004

Effective Date

07/20/2004

Expiration Date

07/19/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/25/2007