JESUS PEREA-OCHOA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003142

License Status

NOT RENEWED

Business

First Name

JESUS

Last Name

PEREA-OCHOA

Business Name

JESUS PEREA-OCHOA

Original Issue Date

11/05/2007

Effective Date

02/11/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012