ALAN CLARK SUTPHEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001059

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

CLARK

Last Name

SUTPHEN

Business Name

ALAN CLARK SUTPHEN

Original Issue Date

06/29/1998

Effective Date

06/29/1998

Expiration Date

03/01/2000

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006