JENNA MARIE LOCAPUTO - Physician Assistant License in Illinois | # 085005262

JENNA MARIE LOCAPUTO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005262

License Status

NOT RENEWED

Business

N

First Name

JENNA

Middle

MARIE

Last Name

LOCAPUTO

Business Name

JENNA MARIE LOCAPUTO

Original Issue Date

09/25/2014

Effective Date

02/25/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2018