JACLYN LEE MIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004190

License Status

ACTIVE

Business

First Name

JACLYN

Middle

LEE

Last Name

MIS

Business Name

JACLYN LEE MIS

Original Issue Date

10/12/2011

Effective Date

01/14/2026

Expiration Date

03/01/2028

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2026