SUSAN ANNE REED Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

INOPERATIVE

Business

First Name

SUSAN

Middle

ANNE

Last Name

REED

Business Name

SUSAN ANNE REED

Original Issue Date

05/05/2005

Effective Date

02/11/2016

Expiration Date

03/01/2018

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2018