CHERYL VANDERBILT-ELLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

NOT RENEWED

Business

First Name

CHERYL

Last Name

VANDERBILT-ELLIS

Business Name

CHERYL VANDERBILT-ELLIS

Original Issue Date

10/05/2006

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/01/2015