LISA M OLDHAM MD

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****66

ACTIVE

N

LISA

M

OLDHAM

MD

LISA M OLDHAM MD

10/04/2001

07/15/2023

07/31/2026

WAUKEGAN

IL

60085

COOK

II III IV V

N

07/15/2023