LISA JH CICHON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002107

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

CICHON

Business Name

LISA JH CICHON

Original Issue Date

10/07/2003

Effective Date

10/07/2003

Expiration Date

03/01/2008

City

ATLANTA

State

Zip

30305

County

FULTON

Ever Disciplined

LastModifiedDate

02/05/2009