LISA JOY MELNICK Physician Assistant License verification

Business Entity

Non Sufficient Fund Check

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002086

License Status

Non Sufficient Fund Check

Business

First Name

LISA

Middle

JOY

Last Name

MELNICK

Business Name

LISA JOY MELNICK

Original Issue Date

09/17/2003

Effective Date

03/21/2014

Expiration Date

03/01/2016

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

07/09/2014