SUE ELLEN VLASIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000168

License Status

NOT RENEWED

Business

First Name

SUE ELLEN

Last Name

VLASIS

Business Name

SUE ELLEN VLASIS

Original Issue Date

02/05/1981

Effective Date

02/05/1981

Expiration Date

03/01/1990

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006