SHARON A BLATTNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

NOT RENEWED

Business

First Name

SHARON A

Last Name

BLATTNER

Business Name

SHARON A BLATTNER

Original Issue Date

05/18/2001

Effective Date

05/18/2001

Expiration Date

03/01/2008

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006