HEATHER DAWN SUTHERLIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

DAWN

Last Name

SUTHERLIN

Business Name

HEATHER DAWN SUTHERLIN

Original Issue Date

10/01/2012

Effective Date

01/30/2014

Expiration Date

03/01/2016

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/29/2016