LISA A CHARLES FIELDS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

CHARLES FIELDS

Business Name

LISA A CHARLES FIELDS

Original Issue Date

03/12/2001

Effective Date

12/16/2025

Expiration Date

03/01/2028

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/16/2025