ALAN CLARK SUTPHEN - Physician Assistant License in Illinois | # 085001059

ALAN CLARK SUTPHEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001059

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006