SARAH DAWN D'ANDREA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002488

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

DAWN

Last Name

D'ANDREA

Business Name

SARAH DAWN D'ANDREA

Original Issue Date

06/27/2005

Effective Date

03/03/2010

Expiration Date

03/01/2012

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

04/11/2012