ELIZABETH D LEE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

LEE

Business Name

ELIZABETH D LEE

Original Issue Date

02/21/2014

Effective Date

02/21/2014

Expiration Date

03/01/2016

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

07/02/2014