SARAH DAWN D'ANDREA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

DAWN

Last Name

D'ANDREA

Business Name

SARAH DAWN D'ANDREA

Original Issue Date

08/22/2005

Effective Date

03/03/2010

Expiration Date

03/01/2012

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

04/16/2012