AMY LYNN HARSANT Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

INOPERATIVE

Business

First Name

AMY

Middle

LYNN

Last Name

HARSANT

Business Name

AMY LYNN HARSANT

Original Issue Date

12/01/2016

Effective Date

02/14/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019