SARA B JURGENS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002920

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

JURGENS

Business Name

SARA B JURGENS

Original Issue Date

12/18/2006

Effective Date

03/04/2010

Expiration Date

03/01/2012

City

YORKVILLE

State

Zip

60560

County

KENDALL

Ever Disciplined

LastModifiedDate

04/11/2012