LISA MARIE PERRY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002841

License Status

NOT RENEWED

Business

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

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

12/16/2010