JACQUELINE YEN LAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006440

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

YEN

Last Name

LAM

Business Name

JACQUELINE YEN LAM

Original Issue Date

11/02/2017

Effective Date

01/18/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025