LISA L KLESIUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001092

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

Last Name

KLESIUS

Business Name

LISA L KLESIUS MD

Original Issue Date

02/02/2016

Effective Date

02/02/2016

Expiration Date

08/02/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/09/2017