CATHY D LISENBY

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****27

ACTIVE

N

CATHY D

LISENBY

CATHY D LISENBY

01/31/2001

02/03/2026

03/01/2028

MOUNT VERNON

IL

62864

JEFFERSON

II III IV V

N

02/03/2026