LUCAS ANISSIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

LUCAS

Last Name

ANISSIAN

Suffix

Business Name

LUCAS ANISSIAN MD

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011