LISA L BABLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001493

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

BABLER

Business Name

LISA L BABLER

Original Issue Date

11/29/2000

Effective Date

11/29/2000

Expiration Date

03/01/2004

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006