SARAH A SWANTZ Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

INOPERATIVE

Business

First Name

SARAH

Middle

Last Name

SWANTZ

Business Name

SARAH A SWANTZ

Original Issue Date

09/06/2011

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/02/2018