ANN JULIA SPROAT Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002128

License Status

INACTIVE

Business

First Name

ANN

Middle

JULIA

Last Name

SPROAT

Business Name

ANN JULIA SPROAT

Original Issue Date

10/16/2003

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

DOWNERS GROVE

State

Zip

60515

Ever Disciplined

LastModifiedDate

05/02/2018