SEONA TOVA LISSE PA-C Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001074

License Status

INACTIVE

Business

First Name

SEONA

Middle

TOVA

Last Name

LISSE

Suffix

PA-C

Business Name

SEONA TOVA LISSE PA-C

Original Issue Date

07/31/1998

Effective Date

07/31/1998

Expiration Date

03/01/2002

City

ROCKVILLE

State

Zip

20852

County

MARYLAND

Ever Disciplined

LastModifiedDate

10/09/2006