LISA ANN ZENGOU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053071

License Status

CANCELLED

Business

Title

First Name

LISA

Middle

ANN

Last Name

ZENGOU

Business Name

LISA ANN ZENGOU MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/21/2010