THOMAS JOSEPH LISK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

THOMAS JOSEPH

Last Name

LISK

Business Name

THOMAS JOSEPH LISK

Original Issue Date

09/19/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020