SARA E GLASS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001671

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

GLASS

Business Name

SARA E GLASS

Original Issue Date

11/06/2001

Effective Date

11/06/2001

Expiration Date

03/01/2004

City

EAGAN

State

Zip

55123

Ever Disciplined

LastModifiedDate

10/26/2017