SARAH A BRANDT 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

SARAH

Middle

Last Name

BRANDT

Business Name

SARAH A BRANDT

Original Issue Date

11/21/2008

Effective Date

02/17/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/14/2012