JOLENA MARIE MARTIN - Physician Assistant License in Illinois | # 085002607

JOLENA MARIE MARTIN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002607

License Status

NOT RENEWED

Business

N

First Name

JOLENA

Middle

MARIE

Last Name

MARTIN

Business Name

JOLENA MARIE MARTIN

Original Issue Date

10/03/2005

Effective Date

03/13/2018

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020