LISA WELLINGTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008718

License Status

NOT RENEWED

Business

First Name

LISA

Last Name

WELLINGTON

Business Name

LISA WELLINGTON

Original Issue Date

10/22/2021

Effective Date

03/02/2022

Expiration Date

03/01/2024

City

LAUREL

State

Zip

20723

Ever Disciplined

LastModifiedDate

02/05/2025