ALICJA D LISAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089097

License Status

NOT RENEWED

Business

First Name

ALICJA D

Last Name

LISAK

Suffix

Business Name

ALICJA D LISAK MD

Original Issue Date

07/21/1994

Effective Date

10/04/2011

Expiration Date

07/31/2014

City

NEW BERLIN

State

Zip

53151

Ever Disciplined

LastModifiedDate

11/17/2014