JENNIFER T KNUDSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003015

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

KNUDSON

Business Name

JENNIFER T KNUDSON

Original Issue Date

08/06/2007

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012