TREVOR W LISSOOS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076961

License Status

ACTIVE

Business

First Name

TREVOR W

Last Name

LISSOOS

Business Name

TREVOR W LISSOOS

Original Issue Date

04/25/1988

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

INDIANAPOLIS

State

Zip

46260

County

MARION

Ever Disciplined

LastModifiedDate

04/09/2023