JONATHAN ROBERT LI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007676

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

ROBERT

Last Name

Business Name

JONATHAN ROBERT LI

Original Issue Date

05/28/2020

Effective Date

01/27/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025