SADIE J ANDERSON - Physician Assistant License in Illinois | # 38*****18

SADIE J ANDERSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

NOT RENEWED

Business

N

First Name

SADIE

Middle

J

Last Name

ANDERSON

Business Name

SADIE J ANDERSON

Original Issue Date

11/16/2010

Effective Date

11/16/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2012