LISA B KASALAJTIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072171

License Status

CANCELLED

Business

Title

First Name

LISA

Middle

Last Name

KASALAJTIS

Business Name

LISA B KASALAJTIS MD

Original Issue Date

05/17/2018

Effective Date

05/17/2018

Expiration Date

05/16/2019

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

M.L.B. Approved Program

Ever Disciplined

LastModifiedDate

05/17/2018