JOEY RACHEL HERMAN 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

JOEY

Middle

RACHEL

Last Name

HERMAN

Business Name

JOEY RACHEL HERMAN

Original Issue Date

07/22/2013

Effective Date

02/04/2016

Expiration Date

03/01/2018

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018