JESSICA RAE MCKENZIE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

INOPERATIVE

Business

First Name

JESSICA

Middle

RAE

Last Name

MCKENZIE

Business Name

JESSICA RAE MCKENZIE

Original Issue Date

07/17/2018

Effective Date

07/17/2018

Expiration Date

03/01/2020

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019