STACY LYNN SUMMERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003773

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LYNN

Last Name

SUMMERS

Business Name

STACY LYNN SUMMERS

Original Issue Date

06/25/2010

Effective Date

01/21/2016

Expiration Date

03/01/2018

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2018