SARA BEALERT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

NOT RENEWED

Business

First Name

SARA

Last Name

BEALERT

Business Name

SARA BEALERT

Original Issue Date

08/20/2004

Effective Date

01/15/2014

Expiration Date

03/01/2016

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/17/2016