ANASTASIA R SEERAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

NOT RENEWED

Business

First Name

ANASTASIA

Middle

Last Name

SEERAM

Business Name

ANASTASIA R SEERAM

Original Issue Date

07/25/2017

Effective Date

07/25/2017

Expiration Date

03/01/2018

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/17/2018