LISA CHRISTINE MARTIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005946

License Status

NOT RENEWED

Business

First Name

LISA

Middle

CHRISTINE

Last Name

MARTIN

Business Name

LISA CHRISTINE MARTIN

Original Issue Date

08/24/2016

Effective Date

08/24/2016

Expiration Date

03/01/2018

City

DENVER

State

Zip

80206

Ever Disciplined

LastModifiedDate

05/10/2018