AJA ANN LYSTILA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049280

License Status

EXPIRED

Business

First Name

AJA

Middle

ANN

Last Name

LYSTILA

Suffix

Business Name

AJA ANN LYSTILA MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

MATTOON

State

Zip

61938

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008