ELIZABETH DOROTHEA CARLISLE - Physician Assistant License in Illinois | # 085003561

ELIZABETH DOROTHEA CARLISLE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003561

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Middle

DOROTHEA

Last Name

CARLISLE

Business Name

ELIZABETH DOROTHEA CARLISLE

Original Issue Date

09/03/2009

Effective Date

02/16/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/18/2016