BLAKE L JESKA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005432

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

JESKA

Business Name

BLAKE L JESKA

Original Issue Date

02/27/2015

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018