LISA JEAN MCCALL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002224

License Status

NOT RENEWED

Business

First Name

LISA

Middle

JEAN

Last Name

MCCALL

Business Name

LISA JEAN MCCALL

Original Issue Date

03/12/2004

Effective Date

03/12/2004

Expiration Date

03/01/2008

City

SPRING VALLEY

State

Zip

55975

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2008