RANDY LYLE CALISOFF MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050248

License Status

CANCELLED

Business

First Name

RANDY

Middle

LYLE

Last Name

CALISOFF

Suffix

Business Name

RANDY LYLE CALISOFF MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

05/06/2008