LIZA G ICAYAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

LIZA G

Last Name

ICAYAN

Suffix

Business Name

LIZA G ICAYAN MD

Original Issue Date

12/03/1996

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023