DENNIS M LISTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

DENNIS M

Last Name

LISTON

Suffix

Business Name

DENNIS M LISTON MD

Original Issue Date

12/24/1986

Effective Date

12/24/1986

Expiration Date

07/31/1993

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011