LIVIA DE SOUZA LISBOA

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****27

ACTIVE

N

LIVIA

DE SOUZA

LISBOA

LIVIA DE SOUZA LISBOA

11/27/2017

01/06/2026

03/01/2028

AURORA

IL

60506

KANE

II III IV V

N

01/06/2026