Arizona
Board of Licensing
Chantelle Marie Lassak PA
Physician Assistant
License number
3064
Date granted
09/29/2004
Class
Physician Assistant
Status
Active
Address
Desert Shores Pediatrics, Pc, 3336 E. Chandler Heights Rd, Ste 132, Gilbert AZ 85298
arizonalicensing.com
ID 22726553
LAST UPDATED 2024-03-12 14:26:20 UTC
LAST UPDATED 2024-03-12 14:26:20 UTC