JENNIFER JOANN HEINRICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001848

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

JOANN

Last Name

HEINRICH

Business Name

JENNIFER JOANN HEINRICH

Original Issue Date

08/16/2002

Effective Date

08/16/2002

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2008