JENNIFER L STOREY - Physician Assistant License in Illinois | # 085004599

JENNIFER L STOREY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004599

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

L

Last Name

STOREY

Business Name

JENNIFER L STOREY

Original Issue Date

01/14/2013

Effective Date

01/14/2013

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014