LISA MICHELLE BERRA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003468

License Status

ACTIVE

Business

First Name

LISA

Middle

MICHELLE

Last Name

BERRA

Business Name

LISA MICHELLE BERRA

Original Issue Date

06/15/2009

Effective Date

03/01/2026

Expiration Date

03/01/2028

City

ESTERO

State

Zip

33967

County

LEE

Ever Disciplined

LastModifiedDate

03/01/2026