LISA MARIE COTTEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

COTTEN

Business Name

LISA MARIE COTTEN

Original Issue Date

09/08/2011

Effective Date

02/20/2014

Expiration Date

03/01/2016

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/25/2016