NASREEN SULTANA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

NOT RENEWED

Business

First Name

NASREEN

Last Name

SULTANA

Business Name

NASREEN SULTANA

Original Issue Date

05/27/2014

Effective Date

05/27/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016