MARIA LISA TIRADO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002989

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

LISA

Last Name

TIRADO

Business Name

MARIA LISA TIRADO

Original Issue Date

07/05/2007

Effective Date

07/05/2007

Expiration Date

03/01/2008

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/23/2008