LISA ANN HUYCK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

INOPERATIVE

Business

First Name

LISA

Middle

ANN

Last Name

HUYCK

Business Name

LISA ANN HUYCK

Original Issue Date

02/26/2001

Effective Date

02/01/2012

Expiration Date

03/01/2014

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

11/08/2013