LISA MENASSE-PALMER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

CANCELLED

Business

First Name

LISA

Last Name

MENASSE-PALMER

Business Name

LISA MENASSE-PALMER

Original Issue Date

08/10/1995

Effective Date

08/10/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006