LISA D BRUCE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000885

License Status

NOT RENEWED

Business

First Name

LISA D

Last Name

BRUCE

Business Name

LISA D BRUCE

Original Issue Date

02/03/1997

Effective Date

02/03/1997

Expiration Date

03/01/2002

City

LENEXA

State

Zip

66215

County

KANSAS

Ever Disciplined

LastModifiedDate

10/09/2006