JEAN M BORN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001620

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

Last Name

BORN

Business Name

JEAN M BORN

Original Issue Date

07/31/2001

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

04/08/2014