LISA MARIE SCHOTT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

SCHOTT

Business Name

LISA MARIE SCHOTT

Original Issue Date

07/09/2020

Effective Date

07/09/2020

Expiration Date

03/01/2022

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022