LISA JOY MELNICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

NOT RENEWED

Business

First Name

LISA

Middle

JOY

Last Name

MELNICK

Business Name

LISA JOY MELNICK

Original Issue Date

02/25/2008

Effective Date

02/25/2008

Expiration Date

03/01/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2009