LISA DANDREA LENELL - Physician Assistant License in South Carolina | # 38*****62

LISA DANDREA LENELL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

DANDREA

Last Name

LENELL

Business Name

LISA DANDREA LENELL

Original Issue Date

08/27/2001

Effective Date

02/16/2012

Expiration Date

03/01/2014

State

SC

Ever Disciplined

N

LastModifiedDate

04/17/2013