LISA A CHARLES FIELDS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001395

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

CHARLES FIELDS

Business Name

LISA A CHARLES FIELDS

Original Issue Date

12/08/2000

Effective Date

12/16/2025

Expiration Date

03/01/2028

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

02/10/2026