JEAN M BORN - Physician Assistant License in Illinois | # 085001620

JEAN M BORN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001620

License Status

NOT RENEWED

Business

N

First Name

JEAN

Middle

M

Last Name

BORN

Business Name

JEAN M BORN

Original Issue Date

07/31/2001

Effective Date

01/25/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014