JENNIFER ANN SCIDMORE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005598

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

ANN

Last Name

SCIDMORE

Business Name

JENNIFER ANN SCIDMORE

Original Issue Date

08/14/2015

Effective Date

08/14/2015

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

01/21/2016