JESSICA RAE WELLS - Physician Assistant License in Illinois | # 085004105

JESSICA RAE WELLS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004105

License Status

NOT RENEWED

Business

N

First Name

JESSICA

Middle

RAE

Last Name

WELLS

Business Name

JESSICA RAE WELLS

Original Issue Date

08/10/2011

Effective Date

02/23/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018