GEOFFREY R SEBASTIAN MD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000190

License Status

NOT RENEWED

Business

First Name

GEOFFREY

Middle

Last Name

SEBASTIAN

Suffix

Business Name

GEOFFREY R SEBASTIAN MD

Original Issue Date

03/22/1981

Effective Date

03/22/1981

Expiration Date

03/01/1990

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

11/27/2017