ANN ELIZABETH STURDEVANT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

NOT RENEWED

Business

First Name

ANN

Middle

ELIZABETH

Last Name

STURDEVANT

Business Name

ANN ELIZABETH STURDEVANT

Original Issue Date

12/03/2002

Effective Date

12/03/2002

Expiration Date

03/01/2006

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

10/09/2006