JAMES SAMUEL LYTLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

SAMUEL

Last Name

LYTLE

Business Name

JAMES SAMUEL LYTLE

Original Issue Date

02/11/2002

Effective Date

02/11/2002

Expiration Date

03/01/2008

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/18/2007