LISA A MIMS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

MIMS

Business Name

LISA A MIMS

Original Issue Date

08/08/1997

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/10/2011