MELBETH MAUREEN LUSICA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050191

License Status

EXPIRED

Business

First Name

MELBETH

Middle

MAUREEN

Last Name

LUSICA

Suffix

Business Name

MELBETH MAUREEN LUSICA MD

Original Issue Date

06/21/2005

Effective Date

06/21/2005

Expiration Date

06/20/2006

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006