STEWART DAVID HARSANT Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

INOPERATIVE

Business

First Name

STEWART

Middle

DAVID

Last Name

HARSANT

Business Name

STEWART DAVID HARSANT

Original Issue Date

12/01/2016

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019