JILL MARIE SHEILS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

INOPERATIVE

Business

First Name

JILL

Middle

MARIE

Last Name

SHEILS

Business Name

JILL MARIE SHEILS

Original Issue Date

10/24/2001

Effective Date

12/19/2011

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/05/2013