JEFFREY AUSTIN BELL Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004337

License Status

INACTIVE

Business

First Name

JEFFREY

Middle

AUSTIN

Last Name

BELL

Business Name

JEFFREY AUSTIN BELL

Original Issue Date

07/03/2012

Effective Date

01/22/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022