LIANA SRISAWITRI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073456

License Status

EXPIRED

Business

Title

First Name

LIANA

Last Name

SRISAWITRI

Business Name

LIANA SRISAWITRI MD

Original Issue Date

06/27/2019

Effective Date

06/27/2019

Expiration Date

06/26/2022

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022