SUSAN LOUFT ANDREATTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000191

License Status

NOT RENEWED

Business

First Name

SUSAN LOUFT

Last Name

ANDREATTA

Business Name

SUSAN LOUFT ANDREATTA

Original Issue Date

03/22/1981

Effective Date

03/22/1981

Expiration Date

03/22/1983

City

SIDNEY

State

Zip

61877

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/26/2006