LISA NAOMI DUFNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002928

License Status

NOT RENEWED

Business

First Name

LISA

Middle

NAOMI

Last Name

DUFNER

Business Name

LISA NAOMI DUFNER

Original Issue Date

01/02/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2010