ALICJA D LISAK MD
Temporary Medical Permit
Illinois 125027628 Expired
This Illinois license was held by ALICJA D LISAK MD. The license is no longer active. It was granted on 02/18/1992 and expired on 02/28/1995
LICENSE DETAILS
- License Number: 125027628
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 02/18/1992 (about 32 years ago)
- Expiry Date: 02/28/1995 (about 29 years ago)
LOCATIONS
A Address
New Berlin, WI 53151