LISA MARIE PERRY - Physician Assistant License in Illinois | # 085002841

LISA MARIE PERRY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002841

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

MARIE

Last Name

PERRY

Business Name

LISA MARIE PERRY

Original Issue Date

10/06/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

12/16/2010