MICHAEL THOMAS FLISAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

THOMAS

Last Name

FLISAK

Suffix

Business Name

MICHAEL THOMAS FLISAK DO

Original Issue Date

10/21/2016

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023