LISA M FOSTER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

CANCELLED

Business

First Name

LISA

Middle

Last Name

FOSTER

Suffix

Business Name

LISA M FOSTER MD

Original Issue Date

06/13/2001

Effective Date

06/13/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006