VIVIAN L GARRETT-LEE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001196

License Status

NOT RENEWED

Business

First Name

VIVIAN L

Last Name

GARRETT-LEE

Business Name

VIVIAN L GARRETT-LEE

Original Issue Date

01/26/1999

Effective Date

01/31/2014

Expiration Date

03/01/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016