LISA M GARCIANETTI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000734

License Status

ACTIVE

Business

First Name

LISA M

Last Name

GARCIANETTI

Business Name

LISA M GARCIANETTI

Original Issue Date

02/06/1996

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

ELK GROVE VILLAGE

State

Zip

60007

Ever Disciplined

LastModifiedDate

12/04/2025