JESSICA SUZANNE SMITH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003344

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

SUZANNE

Last Name

SMITH

Business Name

JESSICA SUZANNE SMITH

Original Issue Date

10/03/2008

Effective Date

02/25/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012