JACK STEVEN LISSAUER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046633

License Status

NOT RENEWED

Business

First Name

JACK STEVEN

Last Name

LISSAUER

Suffix

Business Name

JACK STEVEN LISSAUER MD

Original Issue Date

11/16/1972

Effective Date

11/16/1972

Expiration Date

07/31/1984

City

CLEVELAND HTS

State

Zip

44121

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006