License holder summary

LISA RAE INNIS is a Medical Board - 50.Physician Assistant licensed to practice in Ohio. The address on file for LISA RAE INNIS is 3535 SOUTHERN BLVD, KETTERING, OH 45429. This licensed professional license is not current. The license was granted 03/04/1999 and expired on 01/31/2010.

Ohio

Board of Licensing

LISA RAE INNIS
Medical Board - 50.Physician Assistant
License number
50.001303
Date granted
03/04/1999
Date expires
01/31/2010
Class
Medical Board - 50.Physician Assistant
Status
Inactive
Address
3535 SOUTHERN BLVD, KETTERING, OH 45429
ohiolicensing.org
ID 28467916
LAST UPDATED 2026-05-19 06:29:00 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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