ELIZABETH C CYRUS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

CYRUS

Business Name

ELIZABETH C CYRUS

Original Issue Date

03/05/2004

Effective Date

02/04/2010

Expiration Date

03/01/2012

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/16/2012