LISA J DEWITT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

LISA J

Last Name

DEWITT

Suffix

Business Name

LISA J DEWITT DO

Original Issue Date

09/05/1991

Effective Date

09/05/1991

Expiration Date

07/31/1996

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006