SEAN DAVID HARPER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

DAVID

Last Name

HARPER

Business Name

SEAN DAVID HARPER

Original Issue Date

10/07/2010

Effective Date

10/07/2010

Expiration Date

03/01/2012

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

04/16/2012