TOMASZ PIOTR LIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

TOMASZ

Middle

PIOTR

Last Name

LIS

Business Name

TOMASZ PIOTR LIS MD

Original Issue Date

03/22/2013

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

HENDRICKS

State

Zip

56136

County

MINNESOTA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023