LISA M DANIELS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001837

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

DANIELS

Business Name

LISA M DANIELS

Original Issue Date

08/06/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

SAHUARITA

State

Zip

85629

Ever Disciplined

LastModifiedDate

12/21/2009