LISA MARIE BROWN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

INOPERATIVE

Business

First Name

LISA

Middle

MARIE

Last Name

BROWN

Business Name

LISA MARIE BROWN

Original Issue Date

02/11/2010

Effective Date

02/07/2014

Expiration Date

03/01/2016

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

02/07/2014