LISA NAOMI DUFNER - Physician Assistant License in Illinois | # 085002928

LISA NAOMI DUFNER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002928

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

NAOMI

Last Name

DUFNER

Business Name

LISA NAOMI DUFNER

Original Issue Date

01/02/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

09/23/2010