MICHAEL JAMES LISTON JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

JAMES

Last Name

LISTON

Suffix

Business Name

MICHAEL JAMES LISTON JR MD

Original Issue Date

12/06/2011

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023