JILL R SPECA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003089

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

SPECA

Business Name

JILL R SPECA

Original Issue Date

10/04/2007

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2018