EVAN PHILIP PISICK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

EVAN

Middle

PHILIP

Last Name

PISICK

Suffix

Business Name

EVAN PHILIP PISICK MD

Original Issue Date

05/09/2006

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ZION

State

Zip

60099

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023