LISA NI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074721

License Status

EXPIRED

Business

Title

First Name

LISA

Last Name

Business Name

LISA NI MD

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

06/21/2020

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

11/19/2020