LISA C TYBOR-JARACZEWSKI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

LISA C

Last Name

TYBOR-JARACZEWSKI

Business Name

LISA C TYBOR-JARACZEWSKI

Original Issue Date

06/07/1995

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023