SADIE J ANDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003902

License Status

NOT RENEWED

Business

First Name

SADIE

Middle

Last Name

ANDERSON

Business Name

SADIE J ANDERSON

Original Issue Date

09/28/2010

Effective Date

09/28/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012