MICHAEL THOMAS FLISAK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049318

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

THOMAS

Last Name

FLISAK

Suffix

Business Name

MICHAEL THOMAS FLISAK DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006