CHERYL VANDERBILT-ELLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002695

License Status

NOT RENEWED

Business

First Name

CHERYL

Last Name

VANDERBILT-ELLIS

Business Name

CHERYL VANDERBILT-ELLIS

Original Issue Date

03/15/2006

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

01/21/2016