LIZABETH SUSAN RANTISSI

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****78

ACTIVE

N

LIZABETH

SUSAN

RANTISSI

LIZABETH SUSAN RANTISSI

08/23/2006

02/02/2026

03/01/2028

ROCKFORD

IL

61102

WINNEBAGO

II III IV V

N

02/02/2026