SUSAN ALEXIS VACHON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ALEXIS

Last Name

VACHON

Business Name

SUSAN ALEXIS VACHON

Original Issue Date

05/09/2014

Effective Date

02/28/2020

Expiration Date

03/01/2022

City

SAN FRANCISCO

State

Zip

94103

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022