LISA A BOGET Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

BOGET

Business Name

LISA A BOGET

Original Issue Date

03/19/2001

Effective Date

01/30/2024

Expiration Date

03/01/2026

City

ANNA

State

Zip

62906

Ever Disciplined

LastModifiedDate

12/03/2025