SUZANNE HELENE SACKETT - Physician Assistant License in Illinois | # 085002791

SUZANNE HELENE SACKETT

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002791

License Status

NOT RENEWED

Business

N

First Name

SUZANNE

Middle

HELENE

Last Name

SACKETT

Business Name

SUZANNE HELENE SACKETT

Original Issue Date

08/18/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IL

Ever Disciplined

N

LastModifiedDate

04/01/2010