MARK A SISON Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054881

License Status

CANCELLED

Business

First Name

MARK A

Last Name

SISON

Business Name

MARK A SISON

Original Issue Date

06/25/2008

Effective Date

06/25/2008

Expiration Date

06/24/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/13/2008