LISA LYNN LUMAR - Physician Assistant License in Illinois | # 085002708

LISA LYNN LUMAR

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002708

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2009