LISA MICHELLE LEWIS 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

LISA

Middle

MICHELLE

Last Name

LEWIS

Business Name

LISA MICHELLE LEWIS

Original Issue Date

08/06/2008

Effective Date

08/06/2008

Expiration Date

03/01/2010

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

12/02/2010