JAY A RISEMAN MD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041207184

License Status

INACTIVE

Business

First Name

JAY

Middle

Last Name

RISEMAN

Suffix

Business Name

JAY A RISEMAN MD

Original Issue Date

10/07/1981

Effective Date

10/07/1981

Expiration Date

05/31/1988

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006