LAUREN AMANDA LYSSY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001443

License Status

EXPIRED

Business

Title

First Name

LAUREN

Middle

AMANDA

Last Name

LYSSY

Business Name

LAUREN AMANDA LYSSY DO

Original Issue Date

01/31/2022

Effective Date

01/31/2022

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

10/11/2022