AMY LYNN HARSANT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005849

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

HARSANT

Business Name

AMY LYNN HARSANT

Original Issue Date

06/23/2016

Effective Date

02/14/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020