JILL E NELSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005043

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

NELSON

Business Name

JILL E NELSON

Original Issue Date

04/21/2014

Effective Date

02/10/2016

Expiration Date

03/01/2018

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/10/2018