SUZANNE HELENE SACKETT 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

SUZANNE

Middle

HELENE

Last Name

SACKETT

Business Name

SUZANNE HELENE SACKETT

Original Issue Date

12/22/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/26/2009