SUZANNE HELENE SACKETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002791

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/01/2010