SUSAN ANNE REED Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002414

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ANNE

Last Name

REED

Business Name

SUSAN ANNE REED

Original Issue Date

11/10/2004

Effective Date

07/02/2018

Expiration Date

03/01/2020

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/24/2020