SHERISE LOU ELLEN DEARDORFF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

NOT RENEWED

Business

First Name

SHERISE

Middle

LOU ELLEN

Last Name

DEARDORFF

Business Name

SHERISE LOU ELLEN DEARDORFF

Original Issue Date

09/09/2010

Effective Date

01/21/2014

Expiration Date

03/01/2016

City

BURR RIDGE

State

Zip

60527

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2017