MARY BETH SELLERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000903

License Status

NOT RENEWED

Business

First Name

MARY BETH

Last Name

SELLERS

Business Name

MARY BETH SELLERS

Original Issue Date

03/14/1997

Effective Date

03/14/1997

Expiration Date

03/01/2000

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006