DIANA LEE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004022

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

LEE

Business Name

DIANA LEE

Original Issue Date

04/07/2011

Effective Date

01/11/2012

Expiration Date

03/01/2014

City

LOS ANGELES

State

Zip

90005

Ever Disciplined

LastModifiedDate

04/23/2014