JONATHAN LUSARDI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059152

License Status

EXPIRED

Business

First Name

JONATHAN

Last Name

LUSARDI

Suffix

Business Name

JONATHAN LUSARDI MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

08/16/2016