MARY C LYONS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000952

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LYONS

Business Name

MARY C LYONS

Original Issue Date

12/11/1997

Effective Date

02/02/2021

Expiration Date

05/31/2021

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

07/27/2022