POJ LYSOUVAKON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

POJ

Last Name

LYSOUVAKON

Business Name

POJ LYSOUVAKON

Original Issue Date

04/19/1999

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023