ANDREW MICHAEL SARGENT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001818

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

MICHAEL

Last Name

SARGENT

Business Name

ANDREW MICHAEL SARGENT

Original Issue Date

07/23/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

12/22/2010