LISA MARIE BROWN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003661

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

BROWN

Business Name

LISA MARIE BROWN

Original Issue Date

11/05/2009

Effective Date

02/07/2014

Expiration Date

03/01/2016

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

04/25/2016