LISA ANGELA NAMATAME Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

LISA

Middle

ANGELA

Last Name

NAMATAME

Business Name

LISA ANGELA NAMATAME

Original Issue Date

08/26/2025

Effective Date

12/22/2025

Expiration Date

03/01/2028

City

HONOLULU

State

Zip

96826

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/22/2025