LISA MARGARET REZAC Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002070

License Status

INACTIVE

Business

First Name

LISA

Middle

MARGARET

Last Name

REZAC

Business Name

LISA MARGARET REZAC

Original Issue Date

09/02/2003

Effective Date

09/02/2003

Expiration Date

03/01/2006

City

ALEXANDRIA

State

Zip

22309

Ever Disciplined

LastModifiedDate

10/09/2006