LEA Q LISOWSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

LEA

Middle

Last Name

LISOWSKI

Business Name

LEA Q LISOWSKI MD

Original Issue Date

07/31/2006

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

SHERIDAN

State

Zip

60551

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2023