STEVEN J LISSAU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

STEVEN J

Last Name

LISSAU

Business Name

STEVEN J LISSAU

Original Issue Date

06/29/1989

Effective Date

06/29/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006