JESSICA ALYCE HAISLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002611

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

ALYCE

Last Name

HAISLEY

Business Name

JESSICA ALYCE HAISLEY

Original Issue Date

10/05/2005

Effective Date

01/19/2012

Expiration Date

03/01/2014

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Ever Disciplined

LastModifiedDate

04/08/2014