EDWARD B PAULISSIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

EDWARD B

Last Name

PAULISSIAN

Suffix

Business Name

EDWARD B PAULISSIAN MD

Original Issue Date

05/08/1989

Effective Date

05/08/1989

Expiration Date

07/31/2008

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008