LISA R PALIVOS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

PALIVOS

Business Name

LISA R PALIVOS

Original Issue Date

07/16/1998

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NORTHFIELD

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023