ANDREW MICHAEL SARGENT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

MICHAEL

Last Name

SARGENT

Business Name

ANDREW MICHAEL SARGENT

Original Issue Date

10/29/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

12/22/2010