SARAH CHRISTINE MCCOLLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

CHRISTINE

Last Name

MCCOLLEY

Business Name

SARAH CHRISTINE MCCOLLEY

Original Issue Date

11/14/2003

Effective Date

11/14/2003

Expiration Date

03/01/2008

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/03/2007