ANTHONY EUGENE SISK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058461

License Status

CANCELLED

Business

Title

First Name

ANTHONY

Middle

EUGENE

Last Name

SISK

Business Name

ANTHONY EUGENE SISK DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/20/2010