AMBER D LUTZ - Physician Assistant License in Illinois | # 085002198

AMBER D LUTZ

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002198

License Status

NOT RENEWED

Business

N

First Name

AMBER

Middle

D

Last Name

LUTZ

Business Name

AMBER D LUTZ

Original Issue Date

12/16/2003

Effective Date

02/23/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2015