JON D SUTHERLAND Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001009

License Status

NOT RENEWED

Business

First Name

JON D

Last Name

SUTHERLAND

Business Name

JON D SUTHERLAND

Original Issue Date

01/21/1998

Effective Date

01/21/1998

Expiration Date

03/01/2004

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006