ELIZABETH ERIE LEE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008409

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ERIE

Last Name

LEE

Business Name

ELIZABETH ERIE LEE

Original Issue Date

06/28/2021

Effective Date

06/28/2021

Expiration Date

03/01/2022

City

CHINO HILLS

State

Zip

91709

Ever Disciplined

LastModifiedDate

07/27/2022