LISA ANN HUYCK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001222

License Status

NOT RENEWED

Business

First Name

LISA

Middle

ANN

Last Name

HUYCK

Business Name

LISA ANN HUYCK

Original Issue Date

06/08/1999

Effective Date

02/01/2012

Expiration Date

03/01/2014

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

04/08/2014