JENNA MARIE LOCAPUTO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005262

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

MARIE

Last Name

LOCAPUTO

Business Name

JENNA MARIE LOCAPUTO

Original Issue Date

09/25/2014

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018