LISA JOYCE MUSSMAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

JOYCE

Last Name

MUSSMAN

Business Name

LISA JOYCE MUSSMAN DO

Original Issue Date

08/23/2016

Effective Date

05/04/2017

Expiration Date

09/30/2020

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021