LISA M GARCIANETTI 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 M

Last Name

GARCIANETTI

Business Name

LISA M GARCIANETTI

Original Issue Date

05/07/2001

Effective Date

05/07/2001

Expiration Date

03/01/2002

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006