ELIZABETH DOROTHEA CARLISLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003561

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

DOROTHEA

Last Name

CARLISLE

Business Name

ELIZABETH DOROTHEA CARLISLE

Original Issue Date

09/03/2009

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2016