LISA LYNN LUMAR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002708

License Status

NOT RENEWED

Business

First Name

LISA

Middle

LYNN

Last Name

LUMAR

Business Name

LISA LYNN LUMAR

Original Issue Date

04/26/2006

Effective Date

04/26/2006

Expiration Date

03/01/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2009