LISA PATRICIA WASIELEWSKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066868

License Status

EXPIRED

Business

Title

First Name

LISA

Middle

PATRICIA

Last Name

WASIELEWSKI

Business Name

LISA PATRICIA WASIELEWSKI MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016