JENNIFER C SIDDONS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001007

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

SIDDONS

Business Name

JENNIFER C SIDDONS

Original Issue Date

01/21/1998

Effective Date

01/21/1998

Expiration Date

03/01/2002

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006