VIVIAN L GARRETT-LEE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

INOPERATIVE

Business

First Name

VIVIAN L

Last Name

GARRETT-LEE

Business Name

VIVIAN L GARRETT-LEE

Original Issue Date

03/22/2001

Effective Date

01/31/2014

Expiration Date

03/01/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

09/09/2015