LISA P SOLOMON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

SOLOMON

Suffix

Business Name

LISA P SOLOMON DO

Original Issue Date

08/06/2010

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023