LISA ANGELA NAMATAME Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011393

License Status

ACTIVE

Business

First Name

LISA

Middle

ANGELA

Last Name

NAMATAME

Business Name

LISA ANGELA NAMATAME

Original Issue Date

07/14/2025

Effective Date

12/22/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2025