LISA MARIE PERRY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

PERRY

Business Name

LISA MARIE PERRY

Original Issue Date

12/29/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

12/16/2010