SARA B JURGENS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

JURGENS

Business Name

SARA B JURGENS

Original Issue Date

05/31/2007

Effective Date

03/04/2010

Expiration Date

03/01/2012

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

04/16/2012