ELLEN SARA HARRIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003729

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

SARA

Last Name

HARRIS

Business Name

ELLEN SARA HARRIS

Original Issue Date

05/10/2010

Effective Date

02/16/2016

Expiration Date

03/01/2018

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018