LISA MICHELLE LEWIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003205

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELLE

Last Name

LEWIS

Business Name

LISA MICHELLE LEWIS

Original Issue Date

04/07/2008

Effective Date

04/07/2008

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

12/02/2010