STACY LYNN SAYUK 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

STACY

Middle

LYNN

Last Name

SAYUK

Business Name

STACY LYNN SAYUK

Original Issue Date

12/09/2002

Effective Date

12/09/2002

Expiration Date

03/01/2006

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006