PAT C JAN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000644

License Status

INACTIVE

Business

First Name

PAT

Middle

Last Name

JAN

Business Name

PAT C JAN

Original Issue Date

12/19/1994

Effective Date

12/19/1994

Expiration Date

03/01/2006

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006