SARA R AVERY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005594

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

AVERY

Business Name

SARA R AVERY

Original Issue Date

08/05/2015

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

BELOIT

State

Zip

53511

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/24/2020