LISA MARIE PIWOSZKIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061757

License Status

CANCELLED

Business

Title

First Name

LISA

Middle

MARIE

Last Name

PIWOSZKIN

Business Name

LISA MARIE PIWOSZKIN DO

Original Issue Date

06/28/2012

Effective Date

06/28/2012

Expiration Date

06/27/2015

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014