ANNA JAEL ESPE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004531

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

JAEL

Last Name

ESPE

Business Name

ANNA JAEL ESPE

Original Issue Date

10/25/2012

Effective Date

01/29/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016