JACK C ENTER JR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000925

License Status

ACTIVE

Business

First Name

JACK

Middle

Last Name

ENTER

Suffix

Business Name

JACK C ENTER JR

Original Issue Date

07/11/1997

Effective Date

02/27/2024

Expiration Date

03/01/2026

City

DESPLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025