ANN JULIA SPROAT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

NOT RENEWED

Business

First Name

ANN

Middle

JULIA

Last Name

SPROAT

Business Name

ANN JULIA SPROAT

Original Issue Date

10/07/2004

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

HINES

State

Zip

60141

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018