JEREMY BLAUSER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007535

License Status

NOT RENEWED

Business

First Name

JEREMY

Last Name

BLAUSER

Business Name

JEREMY BLAUSER

Original Issue Date

01/30/2020

Effective Date

01/30/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022