LISA DANDREA LENELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

NOT RENEWED

Business

First Name

LISA

Middle

DANDREA

Last Name

LENELL

Business Name

LISA DANDREA LENELL

Original Issue Date

08/27/2001

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

OKATIE

State

Zip

29909

Ever Disciplined

LastModifiedDate

04/17/2013