LISA HARNUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

LISA

Last Name

HARNUM

Suffix

Business Name

LISA HARNUM MD

Original Issue Date

06/23/1992

Effective Date

06/23/1992

Expiration Date

07/31/1996

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006