JASON SEAN MENADUE PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002091

License Status

NOT RENEWED

Business

First Name

JASON

Middle

SEAN

Last Name

MENADUE

Suffix

PA-C

Business Name

JASON SEAN MENADUE PA-C

Original Issue Date

09/22/2003

Effective Date

09/22/2003

Expiration Date

03/01/2004

City

CHICAGO

State

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006