SARA HELEN LUSTER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

INOPERATIVE

Business

First Name

SARA

Middle

HELEN

Last Name

LUSTER

Business Name

SARA HELEN LUSTER

Original Issue Date

12/04/2008

Effective Date

01/04/2012

Expiration Date

03/01/2014

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

02/08/2012