LISA COLALUCA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

ACTIVE

Business

First Name

LISA

Last Name

COLALUCA

Business Name

LISA COLALUCA

Original Issue Date

02/24/2023

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

MCHENRY

State

Zip

60050

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025