REBECCA ANN LILLY PA-C Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001141

License Status

INACTIVE

Business

First Name

REBECCA

Middle

ANN

Last Name

LILLY

Suffix

PA-C

Business Name

REBECCA ANN LILLY PA-C

Original Issue Date

01/11/1999

Effective Date

01/11/1999

Expiration Date

03/01/2000

City

ST LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/26/2006