JENNA MARIE LIZZO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072897

License Status

CANCELLED

Business

Title

First Name

JENNA

Middle

MARIE

Last Name

LIZZO

Business Name

JENNA MARIE LIZZO MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/16/2018