JORDAN MAREE FRYE - Physician Assistant License in Illinois | # 085007308

JORDAN MAREE FRYE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007308

License Status

NOT RENEWED

Business

N

First Name

JORDAN

Middle

MAREE

Last Name

FRYE

Business Name

JORDAN MAREE FRYE

Original Issue Date

09/26/2019

Effective Date

09/26/2019

Expiration Date

03/01/2020

State

IL

Ever Disciplined

N

LastModifiedDate

11/24/2020