PETER LYSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077726

License Status

CANCELLED

Business

Title

First Name

PETER

Last Name

LYSON

Business Name

PETER LYSON MD

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/28/2021