GERALD JOSEPH LIESEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

GERALD JOSEPH

Last Name

LIESEN

Suffix

Business Name

GERALD JOSEPH LIESEN MD

Original Issue Date

01/01/1997

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017