SARA C MORTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002612

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

MORTON

Business Name

SARA C MORTON

Original Issue Date

10/06/2005

Effective Date

02/25/2010

Expiration Date

03/01/2012

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

10/02/2013