JEANNINE R SUAREZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002268

License Status

NOT RENEWED

Business

First Name

JEANNINE

Middle

Last Name

SUAREZ

Business Name

JEANNINE R SUAREZ

Original Issue Date

07/23/2004

Effective Date

02/14/2014

Expiration Date

03/01/2016

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

11/07/2016