LISA J VUKALCIC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

LISA J

Last Name

VUKALCIC

Suffix

Business Name

LISA J VUKALCIC MD

Original Issue Date

08/30/1984

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

BELOIT

State

Zip

53511

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023