JENNIFER LYN ROSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001684

License Status

NOT RENEWED

Business

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

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

10/09/2006