LISA MICHELLE HARRISON DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001018

License Status

EXPIRED

Business

Title

DPM

First Name

LISA

Middle

MICHELLE

Last Name

HARRISON

Business Name

LISA MICHELLE HARRISON DPM

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2021

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022