JENNIFER LYN ROSE - Physician Assistant License in Illinois | # 085001684

JENNIFER LYN ROSE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001684

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

LYN

Last Name

ROSE

Business Name

JENNIFER LYN ROSE

Original Issue Date

11/06/2001

Effective Date

11/06/2001

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006