LISA HELENA DAVIDOFF MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

HELENA

Last Name

DAVIDOFF

Business Name

LISA HELENA DAVIDOFF MD

Original Issue Date

06/16/2015

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023