LISA MARGARET REZAC - Physician Assistant License in Virginia | # 085002070

LISA MARGARET REZAC

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002070

License Status

INACTIVE

Business

N

First Name

LISA

Middle

MARGARET

Last Name

REZAC

Business Name

LISA MARGARET REZAC

Original Issue Date

09/02/2003

Effective Date

09/02/2003

Expiration Date

03/01/2006

State

VA

Ever Disciplined

N

LastModifiedDate

10/09/2006