LISA L BABLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

BABLER

Business Name

LISA L BABLER

Original Issue Date

03/07/2001

Effective Date

03/07/2001

Expiration Date

03/01/2004

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006