LISA DARLENE ROLLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

DARLENE

Last Name

ROLLER

Business Name

LISA DARLENE ROLLER MD

Original Issue Date

04/18/2013

Effective Date

06/17/2015

Expiration Date

07/31/2017

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017