JENNIFER L WAITE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004163

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

WAITE

Business Name

JENNIFER L WAITE

Original Issue Date

09/28/2011

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020