SARA HELEN LUSTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003377

License Status

NOT RENEWED

Business

First Name

SARA

Middle

HELEN

Last Name

LUSTER

Business Name

SARA HELEN LUSTER

Original Issue Date

10/29/2008

Effective Date

01/04/2012

Expiration Date

03/01/2014

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/08/2014