THOMAS JOSEPH LISK Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

CANCELLED

Business

First Name

THOMAS JOSEPH

Last Name

LISK

Business Name

THOMAS JOSEPH LISK

Original Issue Date

01/01/1997

Expiration Date

07/31/2002

City

BELOIT

State

Zip

53511

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020