LISA P SOLOMON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054302

License Status

CANCELLED

Business

First Name

LISA

Middle

Last Name

SOLOMON

Suffix

Business Name

LISA P SOLOMON DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

LOVES PARK

State

Zip

61111

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/14/2008