SARAH CHRISTINE MINARICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

CHRISTINE

Last Name

MINARICK

Business Name

SARAH CHRISTINE MINARICK

Original Issue Date

10/20/2009

Effective Date

02/24/2014

Expiration Date

03/01/2016

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/15/2016