LAURIE A LISAK Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001070

License Status

INACTIVE

Business

First Name

LAURIE

Middle

Last Name

LISAK

Business Name

LAURIE A LISAK

Original Issue Date

07/21/1998

Effective Date

07/21/1998

Expiration Date

03/01/2008

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

12/14/2007