LISA B KASALAJTIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

Last Name

KASALAJTIS

Business Name

LISA B KASALAJTIS MD

Original Issue Date

05/29/2019

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

PLEASANT PRAIRIE

State

Zip

53158

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023