SADIE J ANDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

NOT RENEWED

Business

First Name

SADIE

Middle

Last Name

ANDERSON

Business Name

SADIE J ANDERSON

Original Issue Date

11/16/2010

Effective Date

11/16/2010

Expiration Date

03/01/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012