AMY MARIE LISS

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****40

ACTIVE

N

AMY

MARIE

LISS

AMY MARIE LISS

04/03/2018

02/09/2026

03/01/2028

OAK LAWN

IL

60453

WILL

II III IV V

N

02/09/2026