LISA NAOMI DUFNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

NOT RENEWED

Business

First Name

LISA

Middle

NAOMI

Last Name

DUFNER

Business Name

LISA NAOMI DUFNER

Original Issue Date

01/04/2008

Effective Date

01/04/2008

Expiration Date

03/01/2010

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/01/2010