JESSICA RAE WELLS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004105

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

RAE

Last Name

WELLS

Business Name

JESSICA RAE WELLS

Original Issue Date

08/10/2011

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018