LISA M DI SANDRO - Physician Assistant License in New Jersey | # 085001964

LISA M DI SANDRO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001964

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

M

Last Name

DI SANDRO

Business Name

LISA M DI SANDRO

Original Issue Date

12/31/2002

Effective Date

12/31/2002

Expiration Date

03/01/2004

State

NJ

Ever Disciplined

N

LastModifiedDate

10/09/2006