SARAH L DAVIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

DAVIS

Business Name

SARAH L DAVIS

Original Issue Date

10/01/2013

Effective Date

03/04/2014

Expiration Date

03/01/2016

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016