SARAH E GRANT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

GRANT

Business Name

SARAH E GRANT

Original Issue Date

11/03/2005

Effective Date

11/03/2005

Expiration Date

03/01/2008

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

01/24/2007