LISA JH CICHON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

CICHON

Business Name

LISA JH CICHON

Original Issue Date

05/05/2006

Effective Date

05/05/2006

Expiration Date

03/01/2008

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2009