SHEROLYN J CHRISTENSEN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002142

License Status

INACTIVE

Business

First Name

SHEROLYN

Middle

Last Name

CHRISTENSEN

Business Name

SHEROLYN J CHRISTENSEN

Original Issue Date

10/22/2003

Effective Date

10/22/2003

Expiration Date

03/01/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006