LISA LYNN LUMAR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

NOT RENEWED

Business

First Name

LISA

Middle

LYNN

Last Name

LUMAR

Business Name

LISA LYNN LUMAR

Original Issue Date

07/19/2006

Effective Date

07/19/2006

Expiration Date

03/01/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2009