LAURIE A LISAK - Physician Assistant License in Illinois | # 085001070

LAURIE A LISAK

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001070

License Status

INACTIVE

Business

N

First Name

LAURIE

Middle

A

Last Name

LISAK

Business Name

LAURIE A LISAK

Original Issue Date

07/21/1998

Effective Date

07/21/1998

Expiration Date

03/01/2008

State

IL

Ever Disciplined

N

LastModifiedDate

12/14/2007