LISA DARLENE ROLLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054493

License Status

CANCELLED

Business

Title

First Name

LISA

Middle

DARLENE

Last Name

ROLLER

Business Name

LISA DARLENE ROLLER MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/05/2011