LISA MARIE OLSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003393

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

OLSON

Business Name

LISA MARIE OLSON

Original Issue Date

12/08/2008

Effective Date

12/08/2008

Expiration Date

03/01/2010

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/01/2010